| NPI | 1598074411 |
|---|---|
| Doing Business As | SULLIVANS HOMETOWN PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | DONALD SULLIVAN President 931-474-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 4794) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-10-14 |