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Mr. Jack Larry Sanders, RPH
Pharmacist in Laurel, Mississippi
NPI 1619050150

Jack Larry Sanders is a Pharmacist based in Laurel, MS. Jack Larry Sanders practices in Laurel, MS and has the professional credentials of RPH. The NPI Number for Jack Larry Sanders is 1619050150 and holds a License No. E-06744 (Mississippi).

The current practice location address for Jack Larry Sanders is 3160 Audubon Dr, Laurel, MS and can be reached out via phone at 601-428-0688 and via fax at 601-428-0689.

Location: 3160 Audubon Dr, Laurel, MS, 39441-8324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619050150
Provider Name
Jack Larry Sanders
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
3160 Audubon Dr, Laurel, MS, 39441-8324
Phone Number
601-428-0688
Fax Number
601-428-0689
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E-06744 01 MS STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
3160 Audubon Dr
City
Laurel
State
Mississippi
Zip
39440
Phone Number
601-428-0688
Fax Number
601-428-0689
person
Provider Business Mailing Address Details
Address
3160 Audubon Dr
City
Laurel
State
Mississippi
Zip
39440
Phone Number
601-428-0688
Fax Number
601-428-0689
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
E-06744 (Mississippi)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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