License holder summary

ERIC BRUCE WAGNER is a Pharmacy - Authorization to Administer Injectables licensed to practice in Pennsylvania. The address on file for ERIC BRUCE WAGNER is Mauldin SC 29662. This licensed professional license is not current. The license was granted 01/18/2012 and expired on 09/30/2012.

Pennsylvania

Department of State

ERIC BRUCE WAGNER
Pharmacy - Authorization to Administer Injectables
License number
RPI006138
Date granted
01/18/2012
Date expires
09/30/2012
Class
Pharmacy - Authorization to Administer Injectables
Status
Inactive
Address
Mauldin SC 29662
palicensing.org
ID 17109103
LAST UPDATED 2026-05-20 07:40:36 UTC

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