| NPI | 1801979380 |
|---|---|
| Doing Business As | SANDERS PHARMACY #4 |
| Entity Type | Organization |
| Authorized Contact | WYNN SANDERS Owner 662-335-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 02410) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |