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

DR. BRIAN LEE WAGONER, PHARM D.

Active Sole Proprietor

DR. BRIAN LEE WAGONER, PHARM D. is a Pharmacist healthcare provider located in MIDWEST CITY, Oklahoma. NPI 1609165752 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · MIDWEST CITY, OK

Registration Details

NPI Number
1609165752
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2011 (15.368433012372 yrs)
Last Updated
Mar 29, 2011
License
14782 (OK)
Sole Proprietor
Yes

Practice Information

Address
1605 MARK WOOD ST
MIDWEST CITY, OK, 731308454
Browse OK providers · Browse ZIP 73130
Phone
4056059956
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in MIDWEST CITY, OK

Name Credential NPI
DR. JUSTIN BLAKE WILSON PHARM.D. 1861487340
TIFFANY A BAKER PHARM. D. 1891780383
STEVEN RANDOLPH MATLOCK DPH 1821101627
MARK GREGORY MURPHY DPH 1861507816
DR. MARK ALLEN STRIMPLE PH.D. 1396822094
MR. LYNN MOGG D.PH. 1871664078
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.