IndividualActive
Mary Wagner, PHARMD
NPI 1073339388 · Ambulatory Care Pharmacist · Monroe Twp, NJ
Provider details
- NPI number
- 1073339388
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- A-3976380 (NJ)
Specialties & taxonomies
Pharmacy Service Providers
Other Service Providers
Practice location
18 Centre Dr
Monroe Twp, NJ 08831-1501
Phone: (732) 439-0282
Approximate (ZIP-level) locationGet directions
Mailing address
12 Dorothy Ln
Milltown, NJ 08850-2109
Additional practice locations (1)
- 12 Dorothy LnMilltown, NJ 08850-2109Phone: (732) 439-0282
Registry dates
- Enumerated
- 2024-12-02
- Last updated
- 2024-12-02
- Certified
- 2024-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.