Organization
SANDERS PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WYNN S SANDERS (OWNER)
(662) 378-1874
Entity
Organization
Contact information
Practice address
1427 SOUTH MAIN STREET, SUITE 115, GREENVILLE, MS 38701
(662) 378-1874
Mailing address
1427 SOUTH MAIN STREET, SUITE 115, GREENVILLE, MS 38701
(662) 378-1874
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1568PG
MS
Other
Enumeration date
10/20/2006
Last updated
05/29/2009
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