NPI 1104428135

Eric Lee Wagman, RPH

Practitioner Pharmacist Fairless Hills, PA

Practice location

Address: 403 S Oxford Valley Rd, Fairless Hills, PA 19030-4202
Phone: (215) 547-1700
Fax: (215) 547-1722
Mailing address: 100 Devon Rd, Chalfont, PA 18914-2310

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RP037156L (PA)

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Registry record

NPI: 1104428135
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Nov 2020
Record last updated: 13 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.