Individual provider · Type 1 NPI

Mary A. Wagner, RPH

Pharmacist · Fairbanks, AK

NPI number 1386860484 Active

Practice location

1650 Cowles St
Fairbanks, AK 99701-5925

Mailing address

PO Box 61112
Fairbanks, AK 99706-1112

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X1041 (AK)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1386860484

Mary A. Wagner, RPH's National Provider Identifier is 1386860484, issued on Apr 17, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fairbanks, AK. The record was last updated on Jul 8, 2007.