Wagner, Jamie

Wagner, Jamie is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as her primary health care specialty. Wagner, Jamie can be contacted via phone (601) 815-1933.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-1933
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 5302041340 Michigan
Pharmacy Service Providers / Pharmacotherapy 1835P1200X T14003 Mississippi
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 051296931 Illinois

Profile Details

NPI number 1801418843
LBN Legal business name Wagner, Jamie
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2020
Last updated May 13th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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