NPI 1255452074

Laura Wagner

Practitioner Pharmacist Clemson, SC

Practice location

Address: 402 College Ave, Clemson, SC 29631-2923
Phone: (864) 654-1771

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 009854 (SC)

Other Pharmacist providers in South Carolina →

Registry record

NPI: 1255452074
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2007
Record last updated: 8 Jul 2007

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.