Organization
WYNN SANDERS PHARMACY, INC.
Active
Other names
SANDERS PHARMACY #1
Organization subpart
No
Provider details
NPI number
Authorized official
WYNN SANDERS (OWNER)
(662) 335-3385
Entity
Organization
Contact information
Practice address
202 EAST STARLING, GREENVILLE, MS 38701
(662) 335-3385
Mailing address
202 EAST STARLING, GREENVILLE, MS 38701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
912PSG
MS
Other
Enumeration date
10/20/2006
Last updated
08/22/2020
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