Ivy Jackie Sanders
Pharmacy Technician in Wilson, NC. Individual provider (NPI-1).
NPI number1164713426
StatusActive
Last updated in NPPESApr 21, 2011
Details
- NPI
- 1164713426
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ivy Jackie Sanders
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2011
- Last updated
- Apr 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | 28514 | NC | Yes |
Practice location
4761 Ward BlvdWilson, NC 27893-4359
Phone 252-399-2112 · Fax 252-399-2136
Mailing address
4761 Ward BlvdWilson, NC 27893-4359
Phone 252-399-2112 · Fax 252-399-2136
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