Individual
MARK WAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9201 W THOMAS RD, PHOENIX, AZ 85037-3332
(623) 327-6170
Mailing address
5421 S SOUTHERN OAK DR, TUCSON, AZ 85746-1345
(520) 329-7563
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
I025269
AZ
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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