Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAUREN WAGONER, PHARMD
Active Sole ProprietorLAUREN WAGONER, PHARMD is a Pharmacist healthcare provider located in CHAMPAIGN, Illinois. NPI 1417351636 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1417351636
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2014 (11.78100715708 yrs)
- Last Updated
- Oct 20, 2014
- License
-
051298162 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1713 W SPRINGFIELD AVECHAMPAIGN, IL, 618213011Browse IL providers · Browse ZIP 61821
- Phone
- 2173562529
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MARK ALBERT OLSON | PHARMD | 1144260381 |
| ALAN L CASPERS | R.PH. | 1144262254 |
| MR. PHILLIP DUANE WEAVER | RPH | 1386749158 |
| PETER IAN TURNER | PHARMACIST | 1184786105 |
| LAUREL KING | — | 1326170481 |
| MS. KELLY DAWN CLARK | RPH | 1780703520 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.