Provider Demographics
NPI:1346830296
Name:SCHWARZ, BRENDA RAE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:RAE
Last Name:SCHWARZ
Suffix:
Gender:F
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:PO BOX 123
Mailing Address - Street 2:
Mailing Address - City:SARVER
Mailing Address - State:PA
Mailing Address - Zip Code:16055-0123
Mailing Address - Country:US
Mailing Address - Phone:724-353-1420
Mailing Address - Fax:724-353-1283
Practice Address - Street 1:708 EKASTOWN RD
Practice Address - Street 2:
Practice Address - City:SARVER
Practice Address - State:PA
Practice Address - Zip Code:16055-9724
Practice Address - Country:US
Practice Address - Phone:724-353-1420
Practice Address - Fax:724-353-1283
Is Sole Proprietor?:No
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041763L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist