Jack Larry Sanders in Laurel - Pharmacist
Jack Larry Sanders - NPI 1619050150
Jack Larry Sanders is a Pharmacist in Laurel, Mississippi. Jack Larry Sanders practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jack Larry Sanders is 1619050150. The last update date is 2007-07-08.
Jack Larry Sanders's current location address is Po Box 8324, Laurel, Mississippi. You can contact this provider via phone number 6017294407 and fax number 6014280689. The mailing address for Jack Larry Sanders is Po Box 8324, Laurel, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jack Larry Sanders |
---|---|
Address | Po Box 8324, Laurel, Mississippi |
Phone Number | 6017294407 |
Fax Number | 6014280689 |
Sole Proprietor | Y |
Credentials | R PH |
NPI Number Detail
NPI Number | 1619050150 |
---|---|
Provider Enumeration Date | 2006-10-20 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | Po Box 8324 |
---|---|
City | Laurel |
State | Mississippi (MS) |
Post Code | 394418324 |
Phone Number | 6017294407 |
Fax Number | 6014280689 |
Provider's Primary Taxonomy Detail
Speciality | Pharmacist |
---|---|
Taxonomy | 183500000X |
Licence No | E-06744 |
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
E-06744 | MS | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the Jack Larry Sanders's unique identification number?
The Jack Larry Sanders has been assigned the NPI (National Provider Identifier) Number 1619050150 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jack Larry Sanders?
The Jack Larry Sanders is physically situated at Po Box 8324, in the city of Laurel, state of MS, with the postal code 394418324.
What is Jack Larry Sanders's area of expertise and its corresponding taxonomy classification?
The Jack Larry Sanders's field of specialization is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jack Larry Sanders receive its 1619050150 assignment from the Centers for Medicare & Medicaid Services?
The Jack Larry Sanders was assigned its 1619050150 by the Centers for Medicare & Medicaid Services on 2006-10-20.
As of what date were the Jack Larry Sanders's details last updated?
The information pertaining to the Jack Larry Sanders, including its address, specialty, and other details, was most recently updated on 2007-07-08.