Provider Demographics
NPI:1912296070
Name:SAUNDERS, OMAR P (RPH)
Entity Type:Individual
Prefix:
First Name:OMAR
Middle Name:P
Last Name:SAUNDERS
Suffix:
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 1:1201 S COURTHOUSE RD
Mailing Address - Street 2:APT # 817
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-0812
Mailing Address - Country:US
Mailing Address - Phone:917-688-8926
Mailing Address - Fax:
Practice Address - Street 1:1671 CRYSTAL SQUARE ARC
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-3322
Practice Address - Country:US
Practice Address - Phone:703-413-0525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202210364183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist