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Organization

DANAURA ENTERPRISES PC

Active
Other names
Nutri-farmacy, Med-Pharm
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL T WAGNER PHARM. D., MBA, R.PH (PRESIDENT)
(412) 486-4588
Entity
Organization

Contact information

Practice address
2506 WILDWOOD ROAD, WILDWOOD, PA 15091
(412) 486-4588
(412) 486-0246
Mailing address
PO BOX 238, WILDWOOD, PA 15091-0238
(412) 486-4588
(412) 486-0246

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PP415155L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0397142
PA
01
3971428
NABP
Enumeration date
06/22/2005
Last updated
08/22/2020
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