Provider Demographics
NPI:1841709706
Name:SAUNDERS, GEOFFREY MICHAEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:MICHAEL
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 NW CROSSING DR APT 108
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-6904
Mailing Address - Country:US
Mailing Address - Phone:443-618-6306
Mailing Address - Fax:
Practice Address - Street 1:1575 NE 3RD ST
Practice Address - Street 2:
Practice Address - City:PRINEVILLE
Practice Address - State:OR
Practice Address - Zip Code:97754-2907
Practice Address - Country:US
Practice Address - Phone:541-447-2466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-23
Last Update Date:2017-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0016189183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist