Provider Demographics
NPI:1528477999
Name:MARTINO, SAUNDRA J (RPH)
Entity type:Individual
Prefix:
First Name:SAUNDRA
Middle Name:J
Last Name:MARTINO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 CENTURY PL
Mailing Address - Street 2:APT #3212
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-5780
Mailing Address - Country:US
Mailing Address - Phone:412-759-5373
Mailing Address - Fax:
Practice Address - Street 1:220 CENTURY PL
Practice Address - Street 2:APT #3212
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-5780
Practice Address - Country:US
Practice Address - Phone:412-759-5373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-10
Last Update Date:2014-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP036055L183500000X
VA0202210304183500000X
MD20543183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist