Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gregory Mark Wagner, RPH

Individual provider Pharmacist · NPI 1962008631

Gregory Mark Wagner, RPH is a Pharmacist in Eagan, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1020 Diffley Rd
Eagan, MN 55123-1777
Phone: (651) 452-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 114271 (MN)

Record details

NPI number1962008631
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedDecember 8, 2020
Last updated in NPPESDecember 8, 2020
Certification dateDecember 8, 2020
Mailing address1020 Diffley Rd, Eagan, MN 55123-1777

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