| Shane R Wagner, PHARMD | |
|
501 Dietz Lane, Beverly, OH 45715 | |
| (740) 984-2305 | |
| Not Available |
| Full Name | Shane R Wagner |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 501 Dietz Lane, Beverly, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922627132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 03232855 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shane R Wagner, PHARMD 717 Mitchell Ave, Beverly, OH 45715-8942 Ph: (740) 236-2164 | Shane R Wagner, PHARMD 501 Dietz Lane, Beverly, OH 45715 Ph: (740) 984-2305 |
Mr. Herbert Lewis Kasun, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 501 Dietz Lane, Beverly, OH 45715 Phone: 740-984-2305 Fax: 740-984-2522 | |
Dr. Rebecca Wagner, RPH, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 501 Dietz Lane, Beverly, OH 45715 Phone: 740-984-2305 | |
Mr. Chadwick Ryan Huck, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 501 Dietz Lane, Beverly, OH 45715 Phone: 740-984-2305 Fax: 740-984-2522 | |
Mr. Ernest Paul Warren, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 501 Dietz Lane, Beverly, OH 45715 Phone: 740-984-2305 Fax: 740-984-2522 |