Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Wagoner

Individual provider Pharmacist · NPI 1205590106

Mary Wagoner is a Pharmacist in Tempe, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2021
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Practice location Address checks out

1870 W Rio Salado Pkwy
Tempe, AZ 85281-2695
Phone: (480) 567-9083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence S020178 (AZ)

Record details

NPI number1205590106
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 26, 2021
Last updated in NPPESOctober 26, 2021
Certification dateOctober 11, 2021

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