KENNETH WAGNER NPI 1588941462

NPI Information

Kenneth Wagner is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Lewiston, ME. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. Kenneth Wagner NPI is 1588941462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

27 EAST AVE
LEWISTON, ME
ZIP 04240-645
Phone: (207) 784-6666

The enumeration date for this NPI number is 11/7/2011 and was last updated on 11/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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