STACIE SULLIVAN

MAGEE, MS
NPI1467048686
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MS  E-010525)
Enumeration Date2020-12-13
Last Update Date2020-12-13
Business Address
Dr. STACIE SULLIVAN PharmD
1625 SIMPSON HIGHWAY 49
MAGEE, MS 39111-4207
Phone number: 601-849-3228
Mailing Address
Dr. STACIE SULLIVAN PharmD
543 SIMPSON HIGHWAY 540
MENDENHALL, MS 39114-9065
Phone number: 601-919-7557