Provider Demographics
NPI:1407909625
Name:SAXON, PAUL M (RPH)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:M
Last Name:SAXON
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 1:327 CRANES RD
Mailing Address - Street 2:
Mailing Address - City:SHAVERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18708-9666
Mailing Address - Country:US
Mailing Address - Phone:570-696-1745
Mailing Address - Fax:
Practice Address - Street 1:435 PIERCE ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-5568
Practice Address - Country:US
Practice Address - Phone:570-288-4519
Practice Address - Fax:570-283-2089
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP029158L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist