Provider Demographics
NPI:1245353218
Name:PAGANO, JOSEPH C (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:C
Last Name:PAGANO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 MILL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-4378
Mailing Address - Country:US
Mailing Address - Phone:215-942-4071
Mailing Address - Fax:
Practice Address - Street 1:2866 S EAGLE RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1543
Practice Address - Country:US
Practice Address - Phone:215-579-0864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044287L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist