Danaura Enterprises PC
Organization Active NPI Pharmacist · Wildwood, PA
NPI 1700882008 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1700882008
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- PP415155L (PA)
- Legal business name
- DANAURA ENTERPRISES PC
- Practice address
- 2506 Wildwood Road
Wildwood, PA 15091 - Phone
- (412) 486-4588
- Fax
- (412) 486-0246
- NPI assigned
- Jun 22, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Daniel T Wagner, PHARM. D., MBA, R.PH
- Title
- President
- Phone
- (412) 486-4588
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Danaura Enterprises PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | PP415155L | PA | Yes |
Addresses
Primary practice location
2506 Wildwood Road
Wildwood, PA 15091
Mailing address
PO Box 238
Wildwood, PA 15091-0238
Phone (412) 486-4588
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3971428 | Other | NABP | |
| 0397142 | Medicaid | PA |
Other names
- Nutri-farmacy, Med-Pharm
Other providers in Wildwood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.