MEDICARE: MR. RICHARD WILLIAM SAXE PHARMACIST

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	RP026389L	PA

General Provider Information

NPI Number	:	1194878249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD WILLIAM SAXE PHARMACIST

Provider Business Mailing Address
First Line	:	472 LOIS DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15236-2551
Country	:	US
Telephone Number	:	412-650-2187
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 LINCOLN WAY
Second Line	:
City	:	MCKEESPORT
State	:	PA
Zip	:	15131-1301
Country	:	US
Telephone Number	:	412-672-7617
Fax Number	:

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

Provider Enumeration Date	:	01/20/2007
Last Update Date	:	07/08/2007

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