Provider Demographics
NPI:1104790161
Name:BEWARD PHARMACY1ST LLC
Entity type:Organization
Organization Name:BEWARD PHARMACY1ST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD OF PHARMACY SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:KOSSI
Authorized Official - Last Name:ANATO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:314-517-9035
Mailing Address - Street 1:1255 UNION ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-7042
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24082 ROUTE 35 N
Practice Address - Street 2:
Practice Address - City:MIFFLINTOWN
Practice Address - State:PA
Practice Address - Zip Code:17059-7926
Practice Address - Country:US
Practice Address - Phone:717-436-6844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy