Provider Demographics
NPI:1649533506
Name:SAILE, DEBBIE R (PHARM D, RPH)
Entity type:Individual
Prefix:DR
First Name:DEBBIE
Middle Name:R
Last Name:SAILE
Suffix:
Gender:F
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13210 328TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:SULTAN
Mailing Address - State:WA
Mailing Address - Zip Code:98294-5000
Mailing Address - Country:US
Mailing Address - Phone:603-943-1857
Mailing Address - Fax:
Practice Address - Street 1:13210 328TH AVE SE
Practice Address - Street 2:
Practice Address - City:SULTAN
Practice Address - State:WA
Practice Address - Zip Code:98294-5000
Practice Address - Country:US
Practice Address - Phone:603-943-1857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60233254183500000X
NH3703183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist