# SULLIVAN'S HEALTH CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487759577
- **Authorized official:** MR. SAM METHRATTA PHARMD (PHARMACY DIRECTOR)
- **Authorized official phone:** (617) 363-1726

## Contact information

- **Practice address:** 30 BELGRADE AVE, ROSLINDALE, MA 02131-3006
- **Practice address phone:** (617) 327-0210
- **Practice address fax:** (617) 323-8776
- **Mailing address:** 30 BELGRADE AVE, ROSLINDALE, MA 02131-3006
- **Mailing address phone:** (617) 327-0210
- **Mailing address fax:** (617) 323-8776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 3335 | MA | — |
| 3336C0003X | Community/Retail Pharmacy | 3335 | MA | — |
| 3336C0004X | Compounding Pharmacy | 3335 | MA | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | 3335 | MA | — |
| 3336L0003X | Long Term Care Pharmacy | 3335 | MA | Yes |
| 3336L0003X | Long Term Care Pharmacy | DS3335 | MA | — |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 01/16/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0406538 | — | MA |
| 01 | — | 2240606 | NCPDP | MA |