Justin Wagner is a Pharmacist based in Gallup, NM. Justin Wagner practices in Gallup, NM. The NPI Number for Justin Wagner is 1245647700 and holds a License No. RP00007923 (New Mexico).
The current practice location address for Justin Wagner is 1650 W Maloney Ave, Gallup, NM and can be reached out via phone at 505-722-3823.
Location: 1650 W Maloney Ave, Gallup, NM, 87301-3305
Provider Profile Details
NPI Number
1245647700
Provider Name
Justin Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
1650 W Maloney Ave, Gallup, NM, 87301-3305
Phone Number
505-722-3823
Fax Number
Provider Enumeration Date
07/16/2014
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1650 W Maloney Ave
City
State
Zip
87301-3305
Phone Number
505-722-3823
Fax Number
Provider Business Mailing Address Details
Address
1650 W Maloney Ave
City
State
Zip
87301-3305
Phone Number
505-722-3823
Fax Number
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
RP00007923 (New Mexico)
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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