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Individual
JIM SANDLIN
Active
Individual
JIM SANDLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4145
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4145
SC PHARMACY LISCENSE
SC
Enumeration date
11/19/2012
Last updated
11/19/2012
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