Provider Demographics
NPI:1811277676
Name:SAVAGE, RODGER WILLIAM (RPH)
Entity type:Individual
Prefix:
First Name:RODGER
Middle Name:WILLIAM
Last Name:SAVAGE
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 1:604 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:PA
Mailing Address - Zip Code:17268-2387
Mailing Address - Country:US
Mailing Address - Phone:717-762-2915
Mailing Address - Fax:717-762-2357
Practice Address - Street 1:604 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-2387
Practice Address - Country:US
Practice Address - Phone:717-762-2915
Practice Address - Fax:717-762-2357
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP411603L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy