MR. Scott Davis Wagner

NPI #1841514593 in Hallstead, Pennsylvania

Provider Information

NPI Number: 1841514593
Entity Type: Individual
Name: MR. Scott Davis Wagner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Mar 24, 2010
Last Updated: Mar 24, 2010

Practice Location

Address: 25059 STATE ROUTE 11
Address 2: HALLSTEAD PLAZA
City: Hallstead
State: Pennsylvania
ZIP Code: 18822-8831
Phone: (570) 879-2126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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