Jack Sullivan
NPI #1104631399 in Woodsville, New Hampshire
Provider Information
- NPI Number
- 1104631399
- Entity Type
- Individual
- Name
- Jack Sullivan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Feb 12, 2025
- Last Updated
- Mar 24, 2025
Practice Location
- Address
- 4901 DARTMOUTH COLLEGE HWY
- City
- Woodsville
- State
- New Hampshire
- ZIP Code
- 03785-1412
- Phone
- (603) 747-3355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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