DR. Susan Michele Sullivan, PHARMD

NPI #1407457641 in Walnut Ridge, Arkansas

Provider Information

NPI Number: 1407457641
Entity Type: Individual
Name: DR. Susan Michele Sullivan, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Nov 4, 2020
Last Updated: Nov 4, 2020

Practice Location

Address: 1600 W MAIN ST
City: Walnut Ridge
State: Arkansas
ZIP Code: 72476-9401
Phone: (870) 886-2806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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