MRS. Ivy Jackie Sanders

NPI #1164713426 in Wilson, North Carolina

Provider Information

NPI Number
1164713426
Entity Type
Individual
Name
MRS. Ivy Jackie Sanders
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacy Technician
Enumeration Date
Apr 21, 2011
Last Updated
Apr 21, 2011

Practice Location

Address
4761 WARD BLVD
City
Wilson
ZIP Code
27893-4359
Phone
(252) 399-2112

Specialties & Taxonomy Codes

Specialty
Pharmacy Technician

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