Sullivan's Pharmacy, Ltd.

NPI 1104873637 - Pharmacy - 333600000X

NPI Details
NPI 1104873637
Enumeration Date 05/30/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TONYA TONYA
Position CERTIFIED PHARMACY TECH/MANAGER
Phone (225) 654-3901
Fax (225) 654-3685
Practice Location
4651 HIGHWAY 19
ZACHARY LA, 70791-3525, US
Phone (225) 654-3901
Fax (225) 654-3685
Business Location
4651 HIGHWAY 19
ZACHARY LA, 70791-3525, US
Phone (225) 654-3901
Fax (225) 654-3685
Toxanomy
Taxonomy Code 333600000X
License State Louisiana
License Number LA1911-IR
Remove 1104873637 NPI Number
 

According to our database, Sullivan's Pharmacy, Ltd. NPI is 1104873637, taxonomy code is 333600000X and license number is LA1911-IR, license state is located at Louisiana. Sullivan's Pharmacy, Ltd. physically located at 4651 Highway 19, Zachary LA, 70791-3525. NPI Number 1033115704 has the healthcare provider type.

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1104873637 NPI number is provided on an as is basis without warranty of any kind. 1104873637 is maintained by the National Plan & Provider Enumeration System. The contents of Sullivan's Pharmacy, Ltd. are for informational purposes only.