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Individual

JOSHUA SANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
7800 N KINGS HWY, MYRTLE BEACH, SC 29572-3053
(843) 497-9995
Mailing address
2002 WOODWARD DR, CONWAY, SC 29527-5577

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
37366
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37366
SCBOP PHARMACIST LICENSE
SC
Enumeration date
09/10/2017
Last updated
09/10/2017
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