Individual
ERIC LEE WAGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
403 S OXFORD VALLEY RD, FAIRLESS HILLS, PA 19030-4202
(215) 547-1700
(215) 547-1722
Mailing address
100 DEVON RD, CHALFONT, PA 18914-2310
(267) 342-3613
(215) 547-1722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP037156L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP037156L
PENNSYLVANIA PHARMACIST LICENSE
PA
Enumeration date
11/13/2020
Last updated
11/13/2020
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