Provider Demographics
NPI:1760730634
Name:SALADINO, AMI ANGELINA (RPH)
Entity Type:Individual
Prefix:MS
First Name:AMI
Middle Name:ANGELINA
Last Name:SALADINO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:AMI
Other - Middle Name:SALADINO
Other - Last Name:BYINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5525 PLANTERSVILLE PLACE
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579
Mailing Address - Country:US
Mailing Address - Phone:803-645-8864
Mailing Address - Fax:
Practice Address - Street 1:WALMART 643 10820 KINGS RD
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29572
Practice Address - Country:US
Practice Address - Phone:843-449-0508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-26
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7634183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist