| NPI | 1477319820 |
|---|---|
| Doing Business As | SULLIVAN PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | ADDIE REBECCA BUNDY Owner 870-741-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |