MEDICARE: DR. BRENDA OLIVIA SAXON PHARMD

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	PHA1981	DC
2	1835P1200X	Pharmacotherapy Pharmacist	17842	MD

General Provider Information

NPI Number	:	1538314869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRENDA OLIVIA SAXON PHARMD

Provider Business Mailing Address
First Line	:	1608 CRITTENDEN ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20017-3125
Country	:	US
Telephone Number	:	202-832-3731
Fax Number	:	202-832-0997

Provider Business Practice Location Address
First Line	:	1608 CRITTENDEN ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20017-3125
Country	:	US
Telephone Number	:	202-832-3731
Fax Number	:	202-832-0997

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

Provider Enumeration Date	:	12/01/2008
Last Update Date	:	12/01/2008

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