Provider Demographics
NPI:1427390525
Name:HARTMANN, SAUNDRA (PHARMD)
Entity Type:Individual
Prefix:
First Name:SAUNDRA
Middle Name:
Last Name:HARTMANN
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 1:300 CLYDESDALE TRL
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55340-4538
Mailing Address - Country:US
Mailing Address - Phone:763-852-0007
Mailing Address - Fax:
Practice Address - Street 1:300 CLYDESDALE TRL
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:MN
Practice Address - Zip Code:55340-4538
Practice Address - Country:US
Practice Address - Phone:763-852-0007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN120957183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist