Provider Demographics
NPI:1124564893
Name:SAULS, JOHN MITCHELL (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:MITCHELL
Last Name:SAULS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:20 WHITEVILLE TOWN CTR
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-4401
Mailing Address - Country:US
Mailing Address - Phone:910-207-6369
Mailing Address - Fax:910-445-0240
Practice Address - Street 1:20 WHITEVILLE TOWN CTR
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472
Practice Address - Country:US
Practice Address - Phone:910-207-6369
Practice Address - Fax:910-445-0024
Is Sole Proprietor?:No
Enumeration Date:2017-01-18
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7966183500000X
NC11979183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist