Danaura Enterprises
Organization Active NPI Pharmacy · Wildwood, PA
NPI 1811902414 · NPPES record last updated Jul 1, 2008
Key facts
- NPI
- 1811902414
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- PP415155L (PA)
- Legal business name
- DANAURA ENTERPRISES
- Practice address
- 2506 Wildwood Road
Wildwood, PA 15091 - Phone
- (412) 486-4588
- Fax
- (412) 486-4898
- NPI assigned
- Jul 30, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- DANAURA ENTERPRISES
Authorized official
- Name
- Daniel T Wagner, PHARMD OWNER RPH
- Title
- Owner
- Phone
- (412) 486-4588
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Danaura Enterprises PC
- Part of
- Danaura Enterprises PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PP415155L | PA | Yes |
| Clinic Pharmacy | 3336C0002X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Long Term Care Pharmacy | 3336L0003X | PP415155L | PA |
Addresses
Primary practice location
2506 Wildwood Road
Wildwood, PA 15091
Mailing address
PO Box 238
2506 Wildwood Road
Wildwood, PA 15091
Phone (412) 486-4588
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0130840001 | Medicaid | PA | |
| 3971428 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- 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 Jul 1, 2008. 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.