Individual
MARK LEWIS SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 HIGHWAY 19 N, MERIDIAN, MS 39307-9377
(601) 482-3170
Mailing address
2400 HIGHWAY 19 N, MERIDIAN, MS 39307-9377
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E08426
MS
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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