Laura Lynn Wagner, is a
Pharmacist based in Mount Ida, Arkansas. Laura Lynn Wagner is licensed to practice in Arkansas (license number AR08356) and her current practice location is
744 Hwy 270 East, Mount Ida, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 867-3174.
NPI number for Laura Lynn Wagner is 1255891578 and her current mailing address is Po Box 66, Mount Ida, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255891578.
Healthcare Provider's Profile
| Full Name | Laura Lynn Wagner |
|---|
| Gender | Female |
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| Speciality | Pharmacist |
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| Location | 744 Hwy 270 East, Mount Ida, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255891578
- Provider Enumeration Date: 03/22/2019
- Last Update Date: 03/22/2019
Medical Identifiers
Medical identifiers for Laura Lynn Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255891578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | AR08356 (Arkansas) | 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. Laura Lynn 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 |
|---|
Laura Lynn Wagner,
Po Box 66,
Mount Ida, AR 71957-0066
Ph: (870) 867-3174 | Laura Lynn Wagner,
744 Hwy 270 East,
Mount Ida, AR 71957
Ph: (870) 867-3174 |
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