Provider Demographics
NPI:1538047329
Name:SAULES, JACLYN THATCHER
Entity type:Individual
Prefix:
First Name:JACLYN
Middle Name:THATCHER
Last Name:SAULES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 ENNIS JOSLIN RD APT 135
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-4339
Mailing Address - Country:US
Mailing Address - Phone:956-225-6881
Mailing Address - Fax:
Practice Address - Street 1:5945 MCARDLE RD STE 101
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-3491
Practice Address - Country:US
Practice Address - Phone:361-853-2061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74673183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist