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NPI 1982276366

IndividualActive

Garrison Wagner, PHARMD

NPI 1982276366 · Pharmacist · Benton, KY

Provider details

NPI number: 1982276366
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: No
License: 022065 (KY)

Practice location

817 Main St

Benton, KY 42025-1240

Phone: (270) 527-9374

More KY providers

Mailing address

817 Main St

Benton, KY 42025-1240

Registry dates

Enumerated: 2021-07-14
Last updated: 2021-07-14

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

Garrison Wagner, PHARMD — NPI 1982276366, Benton, KY | NPI Central