Individual provider · Type 1 NPI

Jack Larry Sanders, R PH

Pharmacist · Laurel, MS

NPI number 1619050150 Active

Practice location

3160 Audubon Dr
Laurel, MS 39440

Fax (601) 428-0689

Mailing address

PO Box 8324
Laurel, MS 39441-8324

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XE-06744 (MS)

Pharmacist: 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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1619050150

Jack Larry Sanders, R PH's National Provider Identifier is 1619050150, issued on Oct 20, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Laurel, MS. The record was last updated on Jul 8, 2007.