Provider Demographics
NPI:1104135342
Name:SAYLES, COLLETTE NATASHA (RPH)
Entity type:Individual
Prefix:MS
First Name:COLLETTE
Middle Name:NATASHA
Last Name:SAYLES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:COLLETTE
Other - Middle Name:NATASHA
Other - Last Name:SAYLES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:8901 WISCONSIN AVW
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-295-2121
Mailing Address - Fax:
Practice Address - Street 1:8901 WISCONSIN AVW
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPHA3239183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist