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

Richard Alfred Wagner

Individual provider Pharmacist · NPI 1306393046

Richard Alfred Wagner is a Pharmacist in Albuquerque, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2016

Practice location Address checks out

1643 Isleta Blvd SW
Albuquerque, NM 87105-4633
Phone: (505) 877-1620
Fax: (505) 877-3309
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP00005604 (NM)

Record details

NPI number1306393046
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 9, 2016
Last updated in NPPESSeptember 9, 2016

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