Provider Demographics
NPI:1629362496
Name:SADLER, LAURA H (RPH)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:H
Last Name:SADLER
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 1:2945 DAIMWOOD RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-7855
Mailing Address - Country:US
Mailing Address - Phone:615-394-6334
Mailing Address - Fax:
Practice Address - Street 1:6690 NOLENSVILLE RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8803
Practice Address - Country:US
Practice Address - Phone:615-941-7643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6262183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist