ERIC MICHAEL WAGNER


Address: 110 Southside Blvd, Dillon, MT 59725-3536
Phone: 4069887121

ERIC MICHAEL WAGNER (NPI# 1043563323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043563323
Entity Type Individual
Full Name ERIC MICHAEL WAGNER
Credential PHARM.D.
Practice Address 110 Southside Blvd
Dillon
MT 59725-3536
Mailing Address 202 Fern Ln
Dillon
MT 59725-8201
Practice Telephone 4069887121
Mailing Telephone 4066907748
Enumeration Date 2012-10-23
Last Update Date 2014-10-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 15331 MT Pharmacy Service Providers

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1306312012 Eric Wagner Behavior Technician 2818 N Ralph Ave, Tucson, AZ 85712-1635 2018-10-19
1306358445 Eric David Wagner Nurse Anesthetist, Certified Registered 405 W Jackson St, Carbondale, IL 62901-1462 2017-10-30
1487043196 Eric Wagner Licensed Practical Nurse 526 W Main St, Sparta, WI 54656-2146 2015-01-19
1528319365 Eric Bruce Wagner Pharmacist 330 Lebby St, Pelzer, SC 29669-1758 2012-09-19
1770856106 Eric Martin Wagner Physician Assistant Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 2012-02-15
1477875078 Eric N Wagner Hearing Instrument Specialist 218 W Market St, Ste7, Charlottesville, VA 22902-5061 2010-02-23

Office Location

Street Address 110 SOUTHSIDE BLVD
City DILLON
State MT
Zip Code 59725-3536

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073853941 Vans Iga of Dillon Inc Pharmacy 110 Southside Blvd, Dillon, MT 59725-3536 2013-02-28
1285034306 Bonnie Rose Rebish Pharmacist 110 Southside Blvd, Dillon, MT 59725-3536 2014-08-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659998508 Sarah Riebel Physical Therapy Assistant 30 State Highway 91, Dillon, MT 59725 2020-06-26
1508397761 Tawni Harper Occupational Therapist 600 State Hwy 91 South, Dillon, MT 59725 2017-03-21
1437532173 Meghan Combs Internal Medicine 600 Mt Hwy 91 S., Dillon, MT 59725 2015-06-30
1962830232 John B Mccollum Dentist 110 S. Idaho Street, Dillon, MT 59725 2013-10-24
1578817789 Krista Maness Counselor 610 N Montana St Ste 10, Dillon, MT 59725 2012-11-09
1891079224 Montana Migrant and Seasonal Farmworker Council, Inc. Clinic/Center 116 N Washington St, Dillon, MT 59725 2011-10-04
1407145527 Latresha G. Garrison Counselor 23 S. Idaho #2, Dillon, MT 59725 2011-03-29
1457657009 The Legacy Assisted Living LLC Assisted Living Facility 1000 Hwy 91 South, Dillon, MT 59725 2011-01-31
1548495518 Jamie L Koett Hospitalist 600 Hwy 91 South, Dillon, MT 59725 2009-05-20
1164666889 Justin Howard Rhodes Student in an Organized Health Care Education/Training Program 327 E. Helena St, Dillon, MT 59725 2009-04-24
Find all providers in zip 59725

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558886986 Ursula Fiala Pharmacist 300 Us Hwy 6, Dillon, CO 80435-1548 2017-08-07
1528457967 David Brown Pharmacist 804 Enterprise Rd, Dillon, SC 29536 2015-01-22
1861899544 Kristen Oakley Pharmacist City Market Pharmacy, 300 U.S. 6, Dillon, CO 80435 2014-11-25
1891103701 Fairlynn Grooms Pharmacist 611 U.S. 301 Highway, Dillon, SC 29536 2014-07-24
1396161477 Cynthia D Williams Pharmacist 805 Enterprise Rd, Wal-mart Pharmacy, Dillon, SC 29536-7821 2014-03-12
1790035483 Lindsay Elizabeth Hyduke Pharmacist 1211 Hwy 301 North, Dillon, SC 29536 2012-09-11
1174807176 Jason Briscoe Lowry Jr. Pharmacist 611 Hwy 301 N, Dillon, SC 29536-2636 2011-10-10
1962797852 Shrina Amin Pharmacist 611 Highway 301 N, Dillon, SC 29536-2446 2011-06-18
1497930341 Jody I Bowman Pharmacist 330 Rodeo Trl, Dillon, MT 59725-8599 2008-01-09
1952944811 Charles Lee Adams Pharmacist 570 N Montana St, Dillon, MT 59725-3315 2019-10-23
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Competitor

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City DILLON
Zip Code 59725

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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