Provider Demographics
NPI:1275605800
Name:VEGLIA, DONALD J (RPH)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:J
Last Name:VEGLIA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 FOUR SEASONS DR
Mailing Address - Street 2:
Mailing Address - City:DRUMS
Mailing Address - State:PA
Mailing Address - Zip Code:18222-1226
Mailing Address - Country:US
Mailing Address - Phone:570-788-2315
Mailing Address - Fax:570-462-3272
Practice Address - Street 1:1 GOLD STAR PLZ
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:PA
Practice Address - Zip Code:17976-2530
Practice Address - Country:US
Practice Address - Phone:570-462-9651
Practice Address - Fax:570-462-3272
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP036848L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP036848LOtherSTATE LICENSE NUMBER