Individual
MR. J SCOTT SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
4100 SEGER AVE, SIOUX CITY, IA 51106-3401
(712) 490-8732
Mailing address
4100 SEGER AVE, SIOUX CITY, IA 51106-3401
(712) 490-8732
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15759
IA
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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