Steven Wagers is a Pharmacist in Berea, Kentucky. Steven Wagers practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Steven Wagers is 1962491399. The last update date is 2007-07-08.
Steven Wagers's current location address is 104 Legacy Dr, Berea, Kentucky. You can contact this provider via phone number 8599862323. The mailing address for Steven Wagers is 104 Legacy Dr, Berea, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Wagers |
|---|---|
| Address | 104 Legacy Dr, Berea, Kentucky |
| Phone Number | 8599862323 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1962491399 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 104 Legacy Dr |
|---|---|
| City | Berea |
| State | Kentucky (KY) |
| Post Code | 404039594 |
| Phone Number | 8599862323 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 12026 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12026 | KY | STATE LICENSE |
Post Comment/ Review Below
What is the Steven Wagers's 1962491399?
The Steven Wagers's NPI (National Provider Identifier) Number is 1962491399. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Steven Wagers's facilities are situated?
The facilities of Steven Wagers are physically located at the following address: 104 Legacy Dr, Berea, KY, 404039594.
What is Steven Wagers's specialized field of practice, and what is the corresponding taxonomy classification code?
The Steven Wagers's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did Steven Wagers receive its 1962491399 assignment from the Centers for Medicare & Medicaid Services?
The Steven Wagers was assigned its 1962491399 on 2005-10-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Steven Wagers's details last updated?
The information pertaining to the Steven Wagers, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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