Healthcare Provider Details

I. General information

NPI: 1013831742
Provider Name (Legal Business Name): SHAWNEE SAUNDERS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9006 YELLOW BRICK RD
ROSEDALE MD
21237-2309
US

IV. Provider business mailing address

2805 EMMORTON RD
ABINGDON MD
21009-1630
US

V. Phone/Fax

Practice location:
  • Phone: 443-927-8400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number31067
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: