Provider Demographics
NPI:1164513537
Name:SANDERS, PAULA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:
Last Name:SANDERS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10163
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0004
Mailing Address - Country:US
Mailing Address - Phone:615-530-6743
Mailing Address - Fax:615-530-6743
Practice Address - Street 1:10163 POBOX BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-0004
Practice Address - Country:US
Practice Address - Phone:615-530-6743
Practice Address - Fax:615-530-6743
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00099701835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy