Provider Demographics
NPI:1588923114
Name:SAULS, BENJAMIN LEWIS (RPH)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:LEWIS
Last Name:SAULS
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 1:523 OLE FARM TRL
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-2965
Mailing Address - Country:US
Mailing Address - Phone:910-233-4741
Mailing Address - Fax:
Practice Address - Street 1:523 OLE FARM TRL
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-2965
Practice Address - Country:US
Practice Address - Phone:910-233-4741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13771183500000X
SC9152183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist