Provider Demographics
NPI:1639626062
Name:SAUNDERS, PHILLIP SR (RPH)
Entity Type:Individual
Prefix:MR
First Name:PHILLIP
Middle Name:
Last Name:SAUNDERS
Suffix:SR
Gender:M
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:PO BOX 4219
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33509-4219
Mailing Address - Country:US
Mailing Address - Phone:813-516-8858
Mailing Address - Fax:
Practice Address - Street 1:2808 N TAMPA ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-1430
Practice Address - Country:US
Practice Address - Phone:813-223-4303
Practice Address - Fax:813-223-4149
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS20719183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS20719OtherFLORIDA BOARD OF PHARMACY (MEDICAL QUALITY ASSURANCE)