Provider Demographics
NPI:1669701660
Name:SARTORIO, WAYNE CHARLES SR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:CHARLES
Last Name:SARTORIO
Suffix:SR
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 1:111 RUTHAR DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-8025
Mailing Address - Country:US
Mailing Address - Phone:800-727-0123
Mailing Address - Fax:302-391-2026
Practice Address - Street 1:111 RUTHAR DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-8025
Practice Address - Country:US
Practice Address - Phone:800-727-0123
Practice Address - Fax:302-391-2026
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-22
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003891183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist