Provider Demographics
NPI:1184004095
Name:SANDERS, BELYNDA NICHOLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BELYNDA
Middle Name:NICHOLE
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 1:1155 F ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20004-1312
Mailing Address - Country:US
Mailing Address - Phone:202-969-8814
Mailing Address - Fax:
Practice Address - Street 1:1155 F ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20004-1312
Practice Address - Country:US
Practice Address - Phone:202-969-8814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-05
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100001926183500000X
DEA1-0004637183500000X
MD23179183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist