Provider Demographics
NPI:1417285768
Name:SAUNDERS, KIMBERLY LANE (RPH)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:LANE
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:LANE
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:6467 WOODLANDS PKWY
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-3616
Mailing Address - Country:US
Mailing Address - Phone:281-292-6743
Mailing Address - Fax:281-292-6132
Practice Address - Street 1:6467 WOODLANDS PKWY
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-3616
Practice Address - Country:US
Practice Address - Phone:281-292-6743
Practice Address - Fax:281-292-6132
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-25
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29725183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist