NPI 1538231907
Dennis Wagner
Practice location
- Address
- 2703 N Rockwell Ave, Bethany, OK 73008-5246
- Phone
- (405) 789-6881
- Fax
- (405) 787-9793
Authorised official
- Name
- Dennis Wagner
- Title
- Owner
- Phone
- (405) 789-6881
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1538231907
- Entity type
- Organization
- NPI issued
- 14 Nov 2006
- Record last updated
- 20 May 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.