Provider Demographics
NPI:1518399807
Name:SAUNDERS, THERESA GAYLE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:GAYLE
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:THERESA
Other - Middle Name:GAYLE
Other - Last Name:HEDGECOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:1200 SAM RITTENBURG BLVD SUITE A
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-5006
Mailing Address - Country:US
Mailing Address - Phone:843-573-4776
Mailing Address - Fax:843-852-0219
Practice Address - Street 1:1200 SAM RITTENBURG BLVD SUITE A
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-5006
Practice Address - Country:US
Practice Address - Phone:843-573-4773
Practice Address - Fax:843-852-0219
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6581183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist