Charles Alllen Wagner
Charles Alllen Wagner is a Pharmacy Technician in Elkhart, Indiana. Licensed in Indiana. Registered with an NPI since 2022.
- Licensed in
- IN
- In the registry since
- 2022
Practice location Address checks out
1804 Connecticut AveElkhart, IN 46514-8367
Phone: (574) 218-2613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacy Technician (primary) | Taxonomy 183700000X · Licence 67010074A (IN) |
|---|
Record details
| NPI number | 1356069082 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 18, 2022 |
| Last updated in NPPES | August 22, 2022 |
| Certification date | August 22, 2022 |
| Mailing address | 901 Johnson St, Elkhart, IN 46514-3329 |
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Elijah Royal Rock
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-
Mrs. Fabiola Sewell, CPHT
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