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1215024500
MARK SULLIVAN
SAN ANTONIO, TX
NPI
1215024500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 35248)
Enumeration Date
2006-10-06
Last Update Date
2007-07-08
Business Address
Mr. MARK SULLIVAN RPh
7400 MERTON MINTER BLVD
SAN ANTONIO, TX 78229-4404
Phone number: 210-617-5300
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Mailing Address
Mr. MARK SULLIVAN RPh
3040 ROLLING OAKS DR
NEW BRAUNFELS, TX 78132-4198
Phone number: 830-606-1377
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