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1467964080
LUKE MACKENZIE SULLIVAN
FORT PAYNE, AL
NPI
1467964080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AL 20120)
Enumeration Date
2017-11-05
Last Update Date
2017-11-05
Business Address
Dr. LUKE MACKENZIE SULLIVAN
1303 GAULT AVE N
FORT PAYNE, AL 35967-3141
Phone number: 256-845-6338
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Mailing Address
Dr. LUKE MACKENZIE SULLIVAN
227 TRAILING CREEK RD NW
MADISON, AL 35757-6349
Phone number:
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