Provider Demographics
NPI:1417387762
Name:SAUNDERS, CORDELIA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CORDELIA
Middle Name:
Last Name:SAUNDERS
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 1:119 CROSSING WAY
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-6102
Mailing Address - Country:US
Mailing Address - Phone:207-622-8001
Mailing Address - Fax:
Practice Address - Street 1:119 CROSSING WAY
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-6102
Practice Address - Country:US
Practice Address - Phone:207-622-8001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-23
Last Update Date:2013-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR3969183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist