Dennis Michael Wagner, RPH

Individual provider Active NPI Pharmacist · Claremont, NH

NPI 1285850347 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1285850347
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
R1371 (NH)
Practice address
79 Washington St
Claremont, NH 03743-5504
Phone
(603) 542-3700
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
R1371NHMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X R1371 NH Yes

Addresses

Primary practice location

79 Washington St
Claremont, NH 03743-5504

Mailing address

2211 Hall Cir
Woodstock, VT 05091-8044
Phone (802) 457-9191

Other providers in Claremont, NH

All providers in Claremont, NH · Pharmacist in New Hampshire

Sources for this page

Verify at the official NPI Registry.