Provider Demographics
NPI:1336421338
Name:SALADINER, ALBERT SYLVESTER III
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:SYLVESTER
Last Name:SALADINER
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908 QUEENSMILL DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-4613
Mailing Address - Country:US
Mailing Address - Phone:540-375-2132
Mailing Address - Fax:
Practice Address - Street 1:1908 QUEENSMILL DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-4613
Practice Address - Country:US
Practice Address - Phone:540-375-2132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202001689183500000X
TX18442183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist