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Individual

FRED C SANDLIN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
797 MILITARY ST S, HAMILTON, AL 35570-4737
(205) 921-3193
(205) 921-2576
Mailing address
PO BOX 36, HAMILTON, AL 35570-0036
(205) 921-3193
(205) 921-2576

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
104160
AL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
104160
AL
332BX2000X
Oxygen Equipment & Supplies (DME)
104160
AL
333600000X
Pharmacy
104160
AL
3336C0003X
Community/Retail Pharmacy
104160
AL
3336H0001X
Home Infusion Therapy Pharmacy
104160
AL
3336L0003X
Long Term Care Pharmacy
104160
AL
3336M0002X
Mail Order Pharmacy
104160
AL
3336S0011X
Specialty Pharmacy
104160
AL

Other

Enumeration date
09/12/2008
Last updated
02/28/2011
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