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1477669315
EDWARD JOHN SULLIVAN
PROVIDENCE, RI
NPI
1477669315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: RI 04216)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
-- EDWARD JOHN SULLIVAN Rph
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-457-3048
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Mailing Address
-- EDWARD JOHN SULLIVAN Rph
161 CURTIS ST
CRANSTON, RI 02920-1823
Phone number: 401-440-9695
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