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1104540293
CHARLES EDWARD SULLIVAN
ERIE, PA
NPI
1104540293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: PA RP456483)
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
CHARLES EDWARD SULLIVAN PHARMD
3800 PINE AVE
ERIE, PA 16504-2328
Phone number: 814-825-1564
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Mailing Address
CHARLES EDWARD SULLIVAN PHARMD
1133 W 27TH ST
ERIE, PA 16508-1523
Phone number: 814-572-6642
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