MEDICARE: DANTE RICHARD SAWYER PHARMD, RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28RI04321100	NJ

General Provider Information

NPI Number	:	1306620521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANTE RICHARD SAWYER PHARMD, RPH

Provider Business Mailing Address
First Line	:	4 ORANGEWOOD LN
Second Line	:
City	:	BURLINGTON TOWNSHIP
State	:	NJ
Zip	:	08016-5100
Country	:	US
Telephone Number	:	609-712-2146
Fax Number	:

Provider Business Practice Location Address
First Line	:	3003 ROUTE 130
Second Line	:
City	:	DELRAN
State	:	NJ
Zip	:	08075-2412
Country	:	US
Telephone Number	:	856-764-5624
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	10/24/2023

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