Individual
DR. MARY LOUISE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
18 CENTRE DR, MONROE TWP, NJ 08831-1501
(732) 439-0282
Mailing address
12 DOROTHY LN, MILLTOWN, NJ 08850-2109
(732) 439-0282
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
A-3976380
NJ
1835P2201X
Ambulatory Care Pharmacist
Primary
28RJ10156
NJ
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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