Most Relevant Information
Provider Data
| NPI Number: | 1003480831 |
| Provider Name: | JUSTIN WARGO |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 61178521 |
Most Important Dates
| Enumeration Date: | 05/17/2021 |
| Last Updated: | 05/17/2021 |
Provider Practice Location
690 GAGE BLVD
RICHLAND
WA
993529512
Practice Location Phone/Fax
| Phone: | 5096275133 |
| Fax: |
Provider Mailing Location
690 GAGE BLVD
RICHLAND
WA
993529512
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |