MR. William Mark Sullivan, R.PH.

NPI #1447569934 in Tyler, Texas

Provider Information

NPI Number: 1447569934
Entity Type: Individual
Name: MR. William Mark Sullivan, R.PH.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Sep 30, 2010
Last Updated: Sep 30, 2010

Practice Location

Address: 807 S BECKHAM AVE
City: Tyler
State: Texas
ZIP Code: 75701-1905
Phone: (903) 594-7951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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