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Charles Alllen Wagner
Pharmacy Technician in Elkhart, Indiana
NPI 1356069082

Charles Alllen Wagner is a Pharmacy Technician based in Elkhart, IN. Charles Alllen Wagner practices in Elkhart, IN. The NPI Number for Charles Alllen Wagner is 1356069082 and holds a License No. 67010074A (Indiana).

The current practice location address for Charles Alllen Wagner is 1804 Connecticut Ave, Elkhart, IN and can be reached out via phone at 574-218-2613.

Location: 1804 Connecticut Ave, Elkhart, IN, 46514-3329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356069082
Provider Name
Charles Alllen Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
1804 Connecticut Ave, Elkhart, IN, 46514-3329
Phone Number
574-218-2613
Fax Number
Provider Enumeration Date
08/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1804 Connecticut Ave
City
Elkhart
State
Indiana
Zip
46514-8367
Phone Number
574-218-2613
Fax Number
person
Provider Business Mailing Address Details
Address
1804 Connecticut Ave
City
Elkhart
State
Indiana
Zip
46514-8367
Phone Number
574-218-2613
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacy Technician
Speciality
-
Taxonomy
183700000X
License No.
67010074A (Indiana)
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
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