Provider Demographics
NPI:1174512040
Name:SANDS, CHARLES DORRANCE III (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:DORRANCE
Last Name:SANDS
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
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Mailing Address - Street 1:3414 LOCH RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4406
Mailing Address - Country:US
Mailing Address - Phone:205-822-7882
Mailing Address - Fax:205-726-2669
Practice Address - Street 1:800 LAKESHORE DR
Practice Address - Street 2:SAMFORD UNIVERSITY
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35229-0001
Practice Address - Country:US
Practice Address - Phone:205-726-2914
Practice Address - Fax:205-726-2669
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL125731835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy