NPI | 1134104219 |
---|---|
Doing Business As | SULIVAN DRUGS OF GILLESPIE |
Entity Type | Organization |
Authorized Contact | TERRY ALLAN Owner 217-839-2877 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054002139) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2005-12-12 |
Last Update Date | 2023-08-22 |