Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Scott Davis Wagner

Individual provider Pharmacist · NPI 1841514593

Mr. Scott Davis Wagner is a Pharmacist in Hallstead, Pennsylvania. Practices as a sole proprietor. Licensed in New York and Pennsylvania.

Licensed in
NY, PA
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

25059 State Route 11 Hallstead Plz
Hallstead, PA 18822-8831
Phone: (570) 879-2126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP040460L (PA)
Pharmacist Taxonomy 183500000X · Licence 053425-1 (NY)

Record details

NPI number1841514593
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 24, 2010
Last updated in NPPESMarch 24, 2010
Mailing address125 Mulberry Dr, Milford, PA 18337-7261

Other providers in Hallstead