Individual
MARY KATHERINE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1700 E PALM VALLEY BLVD, ROUND ROCK, TX 78664-4677
(512) 255-0617
Mailing address
1902 ZEPHYR LN, ROUND ROCK, TX 78664-7039
(512) 255-0617
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
329596
TX
Other
Enumeration date
01/03/2026
Last updated
01/03/2026
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