Sullivan Drugs Inc

NPI 1134104219 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1134104219
Enumeration Date 12/12/2005
Last Updated 11/10/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MAURICE MAURICE
Position PRES
Phone (217) 839-2877
Fax (217) 839-3233
Practice Location
113 S MACOUPIN ST
GILLESPIE IL, 62033-1516, US
Phone (217) 839-2877
Fax (217) 839-3233
Business Location
113 S MACOUPIN ST
POB 59
GILLESPIE IL, 62033-1516, US
Phone (217) 839-2877
Fax (217) 839-3233
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Sullivan Drugs Inc NPI is 1134104219, taxonomy code is 332B00000X Sullivan Drugs Inc physically located at 113 S Macoupin St, Gillespie IL, 62033-1516. NPI Number 1033115704 has the healthcare provider type.

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1134104219 NPI number is provided on an as is basis without warranty of any kind. 1134104219 is maintained by the National Plan & Provider Enumeration System. The contents of Sullivan Drugs Inc are for informational purposes only.