Provider Demographics
NPI:1538314869
Name:SAXON, BRENDA OLIVIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:OLIVIA
Last Name:SAXON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 CRITTENDEN ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-3125
Mailing Address - Country:US
Mailing Address - Phone:202-832-3731
Mailing Address - Fax:202-832-0997
Practice Address - Street 1:1608 CRITTENDEN ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-3125
Practice Address - Country:US
Practice Address - Phone:202-832-3731
Practice Address - Fax:202-832-0997
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPHA19811835P0018X
MD178421835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist