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Steven Wagner
NPI 1679460778 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1833 Kingshighway
Washington Park, IL 62204 - Phone
- (618) 874-3000
- Fax
- (618) 674-3103
- Organisation at this address
- Medicate Pharmacy Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois