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Mr. Richard Marvin Wagner, RPH02
Pharmacist in Tavares, Florida
NPI 1891807111

Richard Marvin Wagner is a Pharmacist based in Mount Dora, FL. Richard Marvin Wagner practices in Tavares, FL and has the professional credentials of RPH02. The NPI Number for Richard Marvin Wagner is 1891807111 and holds a License No. PS0029657 (Florida).

The current practice location address for Richard Marvin Wagner is 450 E Burleigh Blvd, Tavares, FL and can be reached out via phone at 352-343-6436 and via fax at 352-343-7064.

Location: 450 E Burleigh Blvd, Tavares, FL, 32757-6919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891807111
Provider Name
Richard Marvin Wagner
Credential
RPH02
Provider Entity Type
Individual
Gender
Male
Address
450 E Burleigh Blvd, Tavares, FL, 32757-6919
Phone Number
352-343-6436
Fax Number
352-343-7064
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
450 E Burleigh Blvd
City
Tavares
State
Florida
Zip
32778-5257
Phone Number
352-343-6436
Fax Number
352-343-7064
person
Provider Business Mailing Address Details
Address
450 E Burleigh Blvd
City
Tavares
State
Florida
Zip
32778-5257
Phone Number
352-343-6436
Fax Number
352-343-7064
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PS0029657 (Florida)
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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