CHARLES ALLLEN WAGNER
NPI 1356069082
Pharmacy Technician in Elkhart, IN

Active since August 18, 2022
1804 CONNECTICUT AVE, ELKHART, IN 46514(574) 218-2613 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 22, 2022, Aug 18, 2022 (2 updates tracked since 2022).

  • Individual
  • Male
  • Pharmacy Technician

About CHARLES WAGNER

This page provides the complete NPI Profile along with additional information for Charles Wagner, a provider established in Elkhart, Indiana with a medical specialization in Pharmacy Technician. The healthcare provider is registered in the NPI registry with number 1356069082 assigned on August 2022. The practitioner's primary taxonomy code is 183700000X with license number 67010074A (IN). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1356069082 Verify this NPI
Provider Name
CHARLES ALLLEN WAGNER
Gender
Male
Entity Type
Individual
Location Address
1804 CONNECTICUT AVE ELKHART, IN 46514
Location Phone
(574) 218-2613
Mailing Address
901 JOHNSON ST ELKHART, IN 46514
Mailing Phone
(574) 264-5996
Is Sole Proprietor?
No
Enumeration Date
08-18-2022
Last Update Date
08-22-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Technician

Taxonomy Code
183700000X
Type
Pharmacy Service Providers
License No.
67010074A
License State
IN
Taxonomy Description
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356069082, enumerated as an "individual" on August 18, 2022.

The provider is located at 1804 CONNECTICUT AVE ELKHART, IN 46514 and the phone number is (574) 218-2613.

Pharmacy Technician with taxonomy code 183700000X.