Healthcare Provider Details

I. General information

NPI: 1669247219
Provider Name (Legal Business Name): FORWARD RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2023
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

998 3RD ST
BEAVER PA
15009-2025
US

IV. Provider business mailing address

998 3RD ST
BEAVER PA
15009-2025
US

V. Phone/Fax

Practice location:
  • Phone: 724-246-6257
  • Fax: 724-921-1806
Mailing address:
  • Phone: 724-246-6257
  • Fax: 724-921-1806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. BRANDON ANTINOPOULOS
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 724-601-2237