NPI 1053783001

J Scott Sanford, RPH

Practitioner Pharmacist Sioux City, IA

Practice location

Address: 4100 Seger Ave, Sioux City, IA 51106-3401
Phone: (712) 490-8732

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 15759 (IA)

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Registry record

NPI: 1053783001
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2015
Record last updated: 28 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.