Brice Alan Wagner, PHARM D is a
Pharmacist based in Mckenzie, Tennessee. Brice Alan Wagner is licensed to practice in Tennessee (license number 48094) and his current practice location is
205 Hospital Drive, Mckenzie, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(731) 352-0820.
NPI number for Brice Alan Wagner is 1255163358 and his current mailing address is 205 Hospital Drive, Mckenzie, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255163358.
Healthcare Provider's Profile
| Full Name | Brice Alan Wagner |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 205 Hospital Drive, Mckenzie, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255163358
- Provider Enumeration Date: 08/16/2024
- Last Update Date: 08/16/2024
Medical Identifiers
Medical identifiers for Brice Alan Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255163358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 48094 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brice Alan Wagner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brice Alan Wagner, PHARM D
205 Hospital Drive,
Mckenzie, TN 38201
Ph: (731) 352-0820 | Brice Alan Wagner, PHARM D
205 Hospital Drive,
Mckenzie, TN 38201
Ph: (731) 352-0820 |
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