Individual provider · Type 1 NPI

Scott Davis Wagner

Pharmacist · Hallstead, PA

NPI number 1841514593 Active

Practice location

25059 State Route 11, Hallstead Plaza
Hallstead, PA 18822-8831

Mailing address

125 Mulberry Dr
Milford, PA 18337-7261

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRP040460L (PA)
Pharmacist 183500000X053425-1 (NY)

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 1841514593

Scott Davis Wagner's National Provider Identifier is 1841514593, issued on Mar 24, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Hallstead, PA. The record was last updated on Mar 24, 2010.