Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK LARRY SANDERS, R PH
Active Sole ProprietorMR. JACK LARRY SANDERS, R PH is a Pharmacist healthcare provider located in LAUREL, Mississippi. NPI 1619050150 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · LAUREL, MS
Registration Details
- NPI Number
- 1619050150
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2006 (19.779699359953 yrs)
- Last Updated
- Jul 8, 2007
- License
-
E-06744 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3160 AUDUBON DRLAUREL, MS, 39440Browse MS providers · Browse ZIP 39440
- Phone
- 6014280688
- Fax
- 6014280689
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in LAUREL, MS
| Name | Credential | NPI |
|---|---|---|
| MR. RONALD A. HENRY | R.PH. | 1831195593 |
| JAMES L. HICKS, III | RPH | 1780625897 |
| MR. WILLIAM H WELLS | RPH | 1619072840 |
| MRS. MARSHA MYRICK SANDERS | R.PH. | 1114007994 |
| KYLE AARON MAULDIN | — | 1396888913 |
| MR. KENNETH EARL CRAWFORD III | RPH | 1891901567 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.