National Provider Identifier

Douglas Calvin Wager, RPH

Douglas Calvin Wager, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Penn Yan, NY and a listed phone number of (315) 536-4448.

NPI 1013096429Penn Yan, NYPharmacist

Profile Overview

NPI
1013096429
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
November 04, 2006
Last Updated
July 08, 2007

Practice Location

  • 126 Main St
  • Penn Yan, NY 14527-1219

Phone: (315) 536-4448

Mailing Address

  • 2719 County House RD
  • P.O. Box 607
  • Penn Yan, NY 14527-9314

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1013096429
Entity Type
Individual
Last Name
Wager
First Name
Douglas
Middle Name
Calvin
Credential
RPH
Mailing Street Address
2719 County House RD
Mailing Address Line 2
P.O. Box 607
Mailing City
Penn Yan
Mailing State
NY
Mailing ZIP Code
14527-9314
Mailing Country
US
Mailing Phone
(315) 536-4448
Mailing Fax
(315) 536-5043
Practice Street Address
126 Main St
Practice City
Penn Yan
Practice State
NY
Practice ZIP Code
14527-1219
Practice Country
US
Practice Phone
(315) 536-4448
Practice Fax
(315) 536-5043
Enumeration Date
November 04, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)