Organization
BDT OF SAXTON LLC
Active
Other names
SAXTON STATION PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN FOOR (OWNER)
(814) 635-2221
Entity
Organization
Contact information
Practice address
509 MAIN ST, SAXTON, PA 16678-1050
(814) 635-2221
(814) 635-4004
Mailing address
509 MAIN ST, SAXTON, PA 16678-1050
(814) 635-2221
(814) 635-4004
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP410236L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19105933001
—
PA
01
—
2080842
PK
—
Enumeration date
06/11/2006
Last updated
07/08/2016
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