Healthcare Provider Details

I. General information

NPI: 1346830296
Provider Name (Legal Business Name): BRENDA RAE SCHWARZ RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2021
Last Update Date: 01/25/2021
Certification Date: 01/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 EKASTOWN RD
SARVER PA
16055-9724
US

IV. Provider business mailing address

PO BOX 123
SARVER PA
16055-0123
US

V. Phone/Fax

Practice location:
  • Phone: 724-353-1420
  • Fax: 724-353-1283
Mailing address:
  • Phone: 724-353-1420
  • Fax: 724-353-1283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP041763L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: