Provider Demographics
NPI:1235881905
Name:SAUNDERS, MICHAELA CHEYENNE (PHARMD)
Entity Type:Individual
Prefix:
First Name:MICHAELA
Middle Name:CHEYENNE
Last Name:SAUNDERS
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 1:575 IMAGES PT
Mailing Address - Street 2:
Mailing Address - City:CROPWELL
Mailing Address - State:AL
Mailing Address - Zip Code:35054-3971
Mailing Address - Country:US
Mailing Address - Phone:205-515-5248
Mailing Address - Fax:
Practice Address - Street 1:1001 PELHAM RD S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:AL
Practice Address - Zip Code:36265-3021
Practice Address - Country:US
Practice Address - Phone:256-435-2095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22179183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist