Joshua Wade Sullivan PHARM.D.

NPI 1679772065 - Pharmacist - 183500000X

NPI Details
NPI 1679772065
Gender Male
Enumeration Date 07/16/2007
Last Updated 07/16/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1030 JEFFERSON AVE
MEMPHIS TN, 38104-2127, US
Phone (901) 523-8990
Fax
Business Location
1564 DEARING RD
MEMPHIS TN, 38117-6507, US
Phone (931) 216-2362
Fax
Toxanomy
Taxonomy Code 183500000X
License State Tennessee
License Number 29432
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According to our database, Dr. Joshua Wade Sullivan PHARM.D. NPI is 1679772065, taxonomy code is 183500000X and license number is 29432, license state is located at Tennessee. Joshua Wade Sullivan PHARM.D. physically located at 1030 Jefferson Ave, Memphis TN, 38104-2127. NPI Number Joshua Wade Sullivan PHARM.D. has the Individual type.

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1679772065 NPI number is provided on an as is basis without warranty of any kind. 1679772065 is maintained by the National Plan & Provider Enumeration System. The contents of Joshua Wade Sullivan PHARM.D. are for informational purposes only.