JACK LARRY SANDERS

LAUREL, MS
NPI1619050150
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MS  E-06744)
Enumeration Date2006-10-20
Last Update Date2007-07-08
Business Address
Mr. JACK LARRY SANDERS R PH
3160 AUDUBON DR
LAUREL, MS 39440
Phone number: 601-428-0688
Mailing Address
Mr. JACK LARRY SANDERS R PH
PO BOX 8324
LAUREL, MS 39441-8324
Phone number: 601-729-4407
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