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NPI 1801418843

IndividualActive

Jamie Wagner, PHARMD

NPI 1801418843 · Pharmacotherapy Pharmacist · Jackson, MS

Provider details

NPI number: 1801418843
Entity type: Individual
Primary specialty: Pharmacotherapy PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Female
Sole proprietor: No
License: 5302041340 (MI)

Practice location

2500 N State St

Jackson, MS 39216-4500

Phone: (601) 815-1933

More MS providers

Mailing address

2500 N State St

Jackson, MS 39216-4500

Registry dates

Enumerated: 2020-05-13
Last updated: 2020-05-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jamie Wagner, PHARMD — NPI 1801418843, Jackson, MS | NPI Central