MRS. Connie Rae Sullivan, R.PH.

NPI #1710142146 in Lyons, Colorado

Provider Information

NPI Number
1710142146
Entity Type
Individual
Name
MRS. Connie Rae Sullivan, R.PH.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
R.PH.
Enumeration Date
Jul 24, 2008
Last Updated
Jul 24, 2008

Practice Location

Address
7 EAGLE NEST LANE
City
Lyons
ZIP Code
80540-1370
Phone
(303) 823-0406

Specialties & Taxonomy Codes

Specialty
Pharmacist

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