Individual
THOMAS SHANE SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3501 FOREST DRIVE, COLUMBIA, SC 29204
(803) 743-4373
Mailing address
3501 FOREST DRIVE, COLUMBIA, SC 29204
(803) 743-4373
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13452
SC
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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