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Dr. Brian Lee Wagoner, PHARMD
Pharmacist in Midwest City, Oklahoma
NPI 1609165752

Brian Lee Wagoner is a Pharmacist based in Midwest City, OK. Brian Lee Wagoner practices in Midwest City, OK and has the professional credentials of PHARMD. The NPI Number for Brian Lee Wagoner is 1609165752 and holds a License No. 14782 (Oklahoma).

The current practice location address for Brian Lee Wagoner is 1605 Mark Wood St, Midwest City, OK and can be reached out via phone at 405-605-9956.

Location: 1605 Mark Wood St, Midwest City, OK, 73130-8454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609165752
Provider Name
Brian Lee Wagoner
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
1605 Mark Wood St, Midwest City, OK, 73130-8454
Phone Number
405-605-9956
Fax Number
Provider Enumeration Date
03/29/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1605 Mark Wood St
City
Midwest City
State
Oklahoma
Zip
73130-8454
Phone Number
405-605-9956
Fax Number
person
Provider Business Mailing Address Details
Address
1605 Mark Wood St
City
Midwest City
State
Oklahoma
Zip
73130-8454
Phone Number
405-605-9956
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
14782 (Oklahoma)
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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