Organization
DANAURA ENTERPRISES
Active
Parent organization
DANAURA ENTERPRISES
Other names
Med Pharm
Organization subpart
Yes
Provider details
NPI number
Legal business name
DANAURA ENTERPRISES
Authorized official
DANIEL T WAGNER PHARMD OWNER RPH (OWNER)
(412) 486-4588
Entity
Organization
Contact information
Practice address
2506 WILDWOOD ROAD, WILDWOOD, PA 15091
(412) 486-4588
(412) 486-4898
Mailing address
PO BOX 238, 2506 WILDWOOD ROAD, WILDWOOD, PA 15091
(412) 486-4588
(412) 486-4898
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP415155L
PA
3336C0002X
Clinic Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
PP415155L
PA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130840001
—
PA
01
—
3971428
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
07/01/2008
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