Provider Demographics
NPI:1316493877
Name:SAXON, RENEE (RPH)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:SAXON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 N HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:COLVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:99114-2028
Mailing Address - Country:US
Mailing Address - Phone:509-684-2973
Mailing Address - Fax:509-684-3128
Practice Address - Street 1:810 N HIGHWAY
Practice Address - Street 2:
Practice Address - City:COLVILLE
Practice Address - State:WA
Practice Address - Zip Code:99114-2028
Practice Address - Country:US
Practice Address - Phone:509-684-2973
Practice Address - Fax:509-684-3128
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60649678183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist