Provider Demographics
NPI:1225639339
Name:SLAGTER, SAUNDRA J (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SAUNDRA
Middle Name:J
Last Name:SLAGTER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 RINEHART RD
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-7390
Mailing Address - Country:US
Mailing Address - Phone:407-302-1979
Mailing Address - Fax:407-302-2079
Practice Address - Street 1:1101 RINEHART RD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-7390
Practice Address - Country:US
Practice Address - Phone:407-302-1979
Practice Address - Fax:407-302-2079
Is Sole Proprietor?:No
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS21722183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist