Healthcare Provider Details

I. General information

NPI: 1568442143
Provider Name (Legal Business Name): NATHAN M SAUERS PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE
DANVILLE PA
17822-2775
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-2775
US

V. Phone/Fax

Practice location:
  • Phone: 570-214-1991
  • Fax: 570-271-8795
Mailing address:
  • Phone: 570-214-1991
  • Fax: 570-271-8795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberRP044532L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: