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Brenda Wagoner
Pharmacist in New Haven, Connecticut
NPI 1285299602

Brenda Wagoner is a Pharmacist based in New Haven, CT. Brenda Wagoner practices in New Haven, CT. The NPI Number for Brenda Wagoner is 1285299602 and holds a License No. PCT.0011050 (Connecticut).

The current practice location address for Brenda Wagoner is 215 Whalley Ave, New Haven, CT and can be reached out via phone at 203-401-4661.

Location: 215 Whalley Ave, New Haven, CT, 06511-3205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285299602
Provider Name
Brenda Wagoner
Credential
Provider Entity Type
Individual
Gender
Female
Address
215 Whalley Ave, New Haven, CT, 06511-3205
Phone Number
203-401-4661
Fax Number
Provider Enumeration Date
05/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
215 Whalley Ave
City
New Haven
State
Connecticut
Zip
06511-3205
Phone Number
203-401-4661
Fax Number
person
Provider Business Mailing Address Details
Address
215 Whalley Ave
City
New Haven
State
Connecticut
Zip
06511-3205
Phone Number
203-401-4661
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PCT.0011050 (Connecticut)
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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