Provider Demographics
NPI:1619228913
Name:BIXLER, ANTHONY DAVID (RPH)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:DAVID
Last Name:BIXLER
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 1:112 RATHTON RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3721
Mailing Address - Country:US
Mailing Address - Phone:717-751-6077
Mailing Address - Fax:717-741-8466
Practice Address - Street 1:25 MONUMENT RD
Practice Address - Street 2:SUITE 265
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5060
Practice Address - Country:US
Practice Address - Phone:717-741-8150
Practice Address - Fax:717-741-8466
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041659L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist