Doctor Name: | JOHN SANDERS |
NPI Number: | 1043668171 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 03313389 |
Business Practice Address: | 650 Joel Dr Blanchfield Hospital Inpatient Pharmacy Dept. Fort Campbell, KY - 422235318 |
Business Phone Number: | 2707988069 |
Business Fax Number: | |
Mailing Address: | 1925 Ashland City Rd, 408 CLARKSVILLE |
State: | TN |
Postal Code: | 370435291 |
Phone Number: | 5133076312 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2016 |
NPI Last Update Date: | 05/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 03313389 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |