MR. Terry Eugene Sullivan, PHARM. D.

NPI #1790468734 in Makanda, Illinois

Provider Information

NPI Number
1790468734
Entity Type
Individual
Name
MR. Terry Eugene Sullivan, PHARM. D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARM. D.
Enumeration Date
Aug 8, 2023
Last Updated
Aug 8, 2023

Practice Location

Address
470 SULLIVAN RD
ZIP Code
62958-4005
Phone
(618) 697-2861

Specialties & Taxonomy Codes

Specialty
Pharmacist

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