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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH WAGNER

Active

KENNETH WAGNER is a Pharmacist Clinician (PhC) healthcare provider located in LEWISTON, Maine. NPI 1588941462 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · LEWISTON, ME

Registration Details

NPI Number
1588941462
Provider Type
Individual
Gender
Male
NPI Issued
Nov 7, 2011 (14.790003027009 yrs)
Last Updated
Nov 7, 2011
License
PR3110 (ME)

Practice Information

Address
27 EAST AVE
LEWISTON, ME, 042406645
Browse ME providers · Browse ZIP 04240
Phone
2077846666
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X

Other Pharmacist Clinician (PhC) Providers in LEWISTON, ME

Name Credential NPI
DR. SARAH M SMITH PHARM.D., BCACP 1205175924
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.