Sanford, Alyssa W

Sanford, Alyssa W is an individual health care provider with primary practice located at 405 S Lawrence Blvd , Keystone Heights FL 32656-9222. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Sanford, Alyssa W can be contacted via phone (352) 478-2057.

Contact Information

Primary practice address
405 S Lawrence Blvd Keystone Heights FL 32656-9222
Phone: (352) 478-2057
Fax: (352) 478-2059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS32098 Florida

Profile Details

NPI number 1063620094
LBN Legal business name Sanford, Alyssa W
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Feb 8th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063620094 NPPES
Florida Other PS32098 STATE PHARMACIST LICENCE

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