Provider Demographics
NPI:1518141084
Name:WHEAT, SAUNDRA SAUL (RPH)
Entity Type:Individual
Prefix:MS
First Name:SAUNDRA
Middle Name:SAUL
Last Name:WHEAT
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 1:111 COUNTRY PARK LN
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-4705
Mailing Address - Country:US
Mailing Address - Phone:724-545-1739
Mailing Address - Fax:724-763-3281
Practice Address - Street 1:838 5TH AVE
Practice Address - Street 2:
Practice Address - City:FORD CITY
Practice Address - State:PA
Practice Address - Zip Code:16226-1109
Practice Address - Country:US
Practice Address - Phone:724-763-4260
Practice Address - Fax:724-763-3281
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-19
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038451L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist