TERRANCE SULLIVAN

DES MOINES, IA
NPI1801299979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IA  21773)
Enumeration Date2014-10-03
Last Update Date2014-10-03
Business Address
-- TERRANCE SULLIVAN
3600 30TH ST
DES MOINES, IA 50310-5753
Phone number: 515-699-5999
Mailing Address
-- TERRANCE SULLIVAN
3600 30TH ST
DES MOINES, IA 50310-5753
Phone number: 515-699-5999
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