Thomas Edward Sullivan R.PH.

NPI 1215064050 - Pharmacist - 183500000X

NPI Details
NPI 1215064050
Gender Male
Enumeration Date 02/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1010 S. PONCE DELEON BLVD
WINN-DIXIE PHARMACY
ST AUGUSTINE FL, 32084, US
Phone (904) 825-2181
Fax (904) 829-3643
Business Location
1563 BARRINGTON CIR
ST AUGUSTINE FL, 32092-3619, US
Phone (904) 940-1680
Fax
Toxanomy
Taxonomy Code 183500000X
License State North Carolina
License Number NC 8523
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According to our database, Mr. Thomas Edward Sullivan R.PH. NPI is 1215064050, taxonomy code is 183500000X and license number is NC 8523, license state is located at North Carolina. Thomas Edward Sullivan R.PH. physically located at 1010 S. Ponce Deleon Blvd, St Augustine FL, 32084. NPI Number Thomas Edward Sullivan R.PH. has the Individual type.

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1215064050 NPI number is provided on an as is basis without warranty of any kind. 1215064050 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Edward Sullivan R.PH. are for informational purposes only.