MR. Thomas Edward Sullivan, R.PH.
NPI #1215064050 in St Augustine, Florida
Provider Information
- NPI Number
- 1215064050
- Entity Type
- Individual
- Name
- MR. Thomas Edward Sullivan, R.PH.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- R.PH.
- Enumeration Date
- Feb 28, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1010 S. PONCE DELEON BLVD
- Address 2
- WINN-DIXIE PHARMACY
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32084
- Phone
- (904) 825-2181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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