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1053783001
J SCOTT SANFORD
SIOUX CITY, IA
NPI
1053783001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IA 15759)
Enumeration Date
2015-10-28
Last Update Date
2015-10-28
Business Address
Mr. J SCOTT SANFORD R.Ph.
4100 SEGER AVE
SIOUX CITY, IA 51106-3401
Phone number: 712-490-8732
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Mailing Address
Mr. J SCOTT SANFORD R.Ph.
4100 SEGER AVE
SIOUX CITY, IA 51106-3401
Phone number: 712-490-8732
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