Individual
DR. JUSTIN SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
25 COURTENAY DR, ROOM M104, CHARLESTON, SC 29425-8911
(843) 876-5585
Mailing address
25 COURTENAY DR, ROOM M104, CHARLESTON, SC 29425-8911
(843) 876-5585
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36111
SC
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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