IndividualActive
Mark Wager
NPI 1184403164 · Ambulatory Care Pharmacist · Phoenix, AZ
Provider details
- NPI number
- 1184403164
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- I025269 (AZ)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
9201 W Thomas Rd
Phoenix, AZ 85037-3332
Phone: (623) 327-6170
Approximate (ZIP-level) locationGet directions
Mailing address
5421 S Southern Oak Dr
Tucson, AZ 85746-1345
Registry dates
- Enumerated
- 2023-09-27
- Last updated
- 2023-09-27
- Certified
- 2023-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.