Provider Demographics
NPI:1164775185
Name:SANDLER, DONALD STEVEN (RPH)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:STEVEN
Last Name:SANDLER
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 1:160 FORT SUMTER WAY
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-6172
Mailing Address - Country:US
Mailing Address - Phone:636-441-1125
Mailing Address - Fax:
Practice Address - Street 1:10 CENTERLINE DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MO
Practice Address - Zip Code:63379-1393
Practice Address - Country:US
Practice Address - Phone:636-462-7005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO028168183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist