Provider Demographics
NPI:1447377239
Name:SACAVAGE, DAVID L (RPH)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:L
Last Name:SACAVAGE
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 1:109 GARDEN RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-6028
Mailing Address - Country:US
Mailing Address - Phone:215-295-5025
Mailing Address - Fax:
Practice Address - Street 1:6912 NEW FALLS RD
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057-2410
Practice Address - Country:US
Practice Address - Phone:215-949-3052
Practice Address - Fax:215-949-3954
Is Sole Proprietor?:No
Enumeration Date:2007-03-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP029656L183500000X
NJ28RI02400500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist