Provider Demographics
NPI:1164601605
Name:SAVANT, JASON L (RPH)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:L
Last Name:SAVANT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7222 RACCOON VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MILLERSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17062-8817
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7222 RACCOON VALLEY RD
Practice Address - Street 2:
Practice Address - City:MILLERSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17062-8817
Practice Address - Country:US
Practice Address - Phone:717-567-1305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP0441355L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist