Scott Davis Wagner

Pharmacist · Hallstead, PA

Individual Active NPI

NPI number 1841514593

Practice location

25059 State Route 11
Hallstead Plaza
Hallstead, PA 18822-8831
Phone
(570) 879-2126

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NPI record

NPI
1841514593
Entity type
Individual (Type 1)
Enumeration date
March 24, 2010
Last updated
March 24, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X RP040460L PA
Pharmacist 183500000X 053425-1 NY

Mailing address

125 Mulberry Dr
Milford, PA 18337-7261
Phone
(570) 687-8503

About Scott Wagner

Scott Davis Wagner is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 25059 State Route 11, Hallstead Plaza, Hallstead, PA 18822-8831. The NPI number 1841514593 was assigned on March 24, 2010 and the record was last updated on March 24, 2010.

Scott Wagner lists 2 licenses in the registry: #RP040460L (PA) for Pharmacist; #053425-1 (NY) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Scott Davis Wagner?

The NPI number is 1841514593.

What is the phone number of Scott Wagner?

The phone number listed for the practice location is (570) 879-2126.

Where is Scott Wagner located?

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

What is the taxonomy code for Scott Wagner?

The primary taxonomy code is 183500000X – Pharmacist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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