# BEWARD PHARMACY1ST LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beward LTC Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104790161
- **Authorized official:** DR. SETH KOSSI ANATO PHARM.D. (HEAD OF PHARMACY SERVICES)
- **Authorized official phone:** (314) 517-9035

## Contact information

- **Practice address:** 24082 ROUTE 35 N, MIFFLINTOWN, PA 17059-7926
- **Practice address phone:** (717) 436-6844
- **Mailing address:** 1255 UNION ST NE, WASHINGTON, DC 20002-7042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/02/2025
- **Last updated:** 10/13/2025