National Provider Identifier

Jeannine Obrien Wagner, RPH

Jeannine Obrien Wagner, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Webster, NY and a listed phone number of (585) 216-3001.

NPI 1902080286Webster, NYPharmacist

Profile Overview

NPI
1902080286
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
December 22, 2007
Last Updated
December 22, 2007

Practice Location

  • 1050 Ridge RD
  • Webster, NY 14580-2908

Phone: (585) 216-3001

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1902080286
Entity Type
Individual
Last Name
Wagner
First Name
Jeannine
Middle Name
Obrien
Name Prefix
MS.
Credential
RPH
Mailing Street Address
1050 Ridge RD
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-2908
Mailing Country
US
Mailing Phone
(585) 216-3001
Mailing Fax
(585) 216-3001
Practice Street Address
1050 Ridge RD
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-2908
Practice Country
US
Practice Phone
(585) 216-3001
Practice Fax
(585) 216-3001
Enumeration Date
December 22, 2007
Last Updated
December 22, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)