| NPI | 1497818967 |
|---|---|
| Doing Business As | SULLIVAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ADDIE BUNDY Owner 870-741-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2022-10-12 |