Provider Demographics
NPI:1306620521
Name:SAWYER, DANTE RICHARD (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:DANTE
Middle Name:RICHARD
Last Name:SAWYER
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ORANGEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-5100
Mailing Address - Country:US
Mailing Address - Phone:609-712-2146
Mailing Address - Fax:
Practice Address - Street 1:3003 ROUTE 130
Practice Address - Street 2:
Practice Address - City:DELRAN
Practice Address - State:NJ
Practice Address - Zip Code:08075-2412
Practice Address - Country:US
Practice Address - Phone:856-764-5624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04321100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist