Provider Demographics
NPI:1508170770
Name:SAUNDERS, JUSTIN ADAM (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:ADAM
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4902 BIRCHVIEW CT
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-2558
Mailing Address - Country:US
Mailing Address - Phone:937-205-4950
Mailing Address - Fax:
Practice Address - Street 1:564 MCADAMS DR
Practice Address - Street 2:
Practice Address - City:NEW CARLISLE
Practice Address - State:OH
Practice Address - Zip Code:45344-2501
Practice Address - Country:US
Practice Address - Phone:937-849-1366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03230308183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist