NPI 1164713426

Ivy Jackie Sanders

Practitioner Pharmacy Technician Wilson, NC

Practice location

Address: 4761 Ward Blvd, Wilson, NC 27893-4359
Phone: (252) 399-2112
Fax: (252) 399-2136

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 28514 (NC)

Other Pharmacy Technician providers in North Carolina →

Registry record

NPI: 1164713426
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Apr 2011
Record last updated: 21 Apr 2011

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.