MR. Owen P Sullivan, RPH
NPI #1164474748 in Carlinville, Illinois
Provider Information
- NPI Number
- 1164474748
- Entity Type
- Individual
- Name
- MR. Owen P Sullivan, RPH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- May 16, 2006
- Last Updated
- Feb 24, 2017
Practice Location
- Address
- 920 W MAIN ST
- City
- Carlinville
- State
- Illinois
- ZIP Code
- 62626-1200
- Phone
- (217) 854-6121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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