Grant E Sullivan, RPH

NPI #1023135944 in Ithaca, New York

Provider Information

NPI Number: 1023135944
Entity Type: Individual
Name: Grant E Sullivan, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Mar 24, 2007
Last Updated: Jul 18, 2023

Practice Location

Address: 625 W CLINTON ST
City: Ithaca
State: New York
ZIP Code: 14850-5235
Phone: (607) 273-3647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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