Sullivan's Drug Store,inc
NPI #1700965811 in Batesville, Mississippi
Provider Information
- NPI Number
- 1700965811
- Entity Type
- Organization
- Organization Name
- Sullivan's Drug Store,inc
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 2, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 107 VAN VORIS ST
- City
- Batesville
- State
- Mississippi
- ZIP Code
- 38606-2198
- Phone
- (662) 563-7687
Authorized Official
- Name
- MR. RANDELL GLENN SULLIVAN, R.PH.
- Title
- OWNER
- Phone
- (662) 563-7687
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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