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Mr. John Herbert Wagner, RPH
Pharmacist in Racine, Wisconsin
NPI 1235524075

John Herbert Wagner is a Pharmacist based in Racine, WI. John Herbert Wagner practices in Racine, WI and has the professional credentials of RPH. The NPI Number for John Herbert Wagner is 1235524075 and holds a License No. 8002-40 (Wisconsin).

The current practice location address for John Herbert Wagner is 3900 Erie St, Racine, WI and can be reached out via phone at 262-639-1611 and via fax at 262-639-5611.

Location: 3900 Erie St, Racine, WI, 53402-3544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235524075
Provider Name
John Herbert Wagner
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
3900 Erie St, Racine, WI, 53402-3544
Phone Number
262-639-1611
Fax Number
262-639-5611
Provider Enumeration Date
03/30/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1225062441 01 WI NPI
institution
Provider Business Practice Location Address Details
Address
3900 Erie St
City
Racine
State
Wisconsin
Zip
53402-3544
Phone Number
262-639-1611
Fax Number
262-639-5611
person
Provider Business Mailing Address Details
Address
3900 Erie St
City
Racine
State
Wisconsin
Zip
53402-3544
Phone Number
262-639-1611
Fax Number
262-639-5611
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
8002-40 (Wisconsin)
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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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