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Organization
SULLIVAN S DRUG LLC
Active
Organization
SULLIVAN S DRUG LLC
Active
Other names
Sullivan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO RANGEL (OWNER)
(956) 793-3738
Entity
Organization
Contact information
Practice address
1140 GRAND AVE, BACLIFF, TX 77518-2760
(281) 339-4577
(281) 559-4339
Mailing address
1140 GRAND AVE, BACLIFF, TX 77518-2760
(281) 339-4577
(281) 559-4339
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
13309
TX
Other
Enumeration date
02/27/2007
Last updated
06/22/2020
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