Med Pharm

LBN: Danaura Enterprises
Med Pharm is an health care organization with primary practice located at 2506 Wildwood Road , Wildwood PA 15091. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Danaura Enterprises can be contacted via phone (412) 486-4588, or through Wagner, Daniel T via phone (412) 486-4588.

Contact Information

Primary practice address
2506 Wildwood Road Wildwood PA 15091
Phone: (412) 486-4588
Fax: (412) 486-4898
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Daniel T PHARMD OWNER RPH
Phone: (412) 486-4588

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PP415155L Pennsylvania
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Long Term Care Pharmacy 3336L0003X PP415155L Pennsylvania

Profile Details

NPI number 1811902414
LBN Legal business name Danaura Enterprises
DBA Doing business as Med Pharm
Authorized official Wagner, Daniel T PHARMD OWNER RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 30th, 2006
Last updated Jul 1st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811902414 NPPES
Pennsylvania MEDICAID 0130840001
Pennsylvania Other 3971428

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