Active NPIIndividual providerSole proprietor

Dr. Mary L Wagner, PHARMD

Pharmacist, Ambulatory Care in Monroe Twp, New Jersey

NPI Number1073339388
Practice location
18 Centre Dr, Monroe Twp, NJ 08831-1501
Fax
—
Last updated
December 2, 2024

Mary Louise Wagner is a Pharmacist, Ambulatory Care based in Monroe Twp, NJ. Mary Louise Wagner practices in Monroe Twp, NJ and has the professional credentials of PHARMD. The NPI Number for Mary Louise Wagner is 1073339388 and holds a License No. A-3976380 (NJ). The current practice location address for Mary Louise Wagner is 18 Centre Dr, Monroe Twp, NJ 08831-1501 and can be reached out via phone at 732-439-0282.

Provider Profile Details

NPI Number
1073339388
Provider Name
Mary Louise Wagner
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
18 Centre Dr, Monroe Twp, NJ 08831-1501
Phone Number
732-439-0282
Primary Taxonomy
Pharmacist, Ambulatory Care · 1835P2201X
Sole Proprietor
Yes
Provider Enumeration Date
December 2, 2024
Last Update Date
December 2, 2024
Certification Date
December 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 Centre Dr
Monroe Twp, NJ 08831-1501
Zip
08831-1501
Phone Number
732-439-0282
Monroe Twp, NJ 08831Get directions →

Provider Business Mailing Address Details

Address
12 Dorothy Ln
Milltown, NJ 08850-2109
City
Milltown
State
NJ
Zip
08850-2109
Phone Number
732-439-0282

License Information

License Number (1)
A-3976380
License State (1)
NJ
Taxonomy (1)
Health & Wellness Coach · 171400000X
License Number (2)
28RJ10156
License State (2)
NJ
Taxonomy (2)
Pharmacist, Ambulatory Care · 1835P2201X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mary L Wagner, PHARMD?

The NPI number of Dr. Mary L Wagner, PHARMD is 1073339388. It was assigned on December 2, 2024 and is currently active in the NPPES registry.

What is the specialty of Dr. Mary L Wagner, PHARMD?

Dr. Mary L Wagner, PHARMD is registered under the primary taxonomy Pharmacist, Ambulatory Care (code 1835P2201X), licensed in NJ under license number A-3976380.

Where does Dr. Mary L Wagner, PHARMD practice?

The practice location is 18 Centre Dr, Monroe Twp, NJ 08831-1501. The office can be reached at 732-439-0282 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073339388 directly on the NPPES registry website.

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