IndividualActive
Austin Wagner, PHARMD
NPI 1023771201 · Pharmacist · Maryland Heights, MO
Provider details
- NPI number
- 1023771201
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 2021041618 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
12509 Dorsett Rd
Maryland Heights, MO 63043-3909
Phone: (314) 434-4224
Approximate (ZIP-level) locationGet directions
Mailing address
12509 Dorsett Rd
Maryland Heights, MO 63043-3909
Registry dates
- Enumerated
- 2021-10-14
- Last updated
- 2021-10-14
- Certified
- 2021-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.