# SULLIVAN DRUG COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Pharmhouse
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780271221
- **Authorized official:** SHANA SULLIVAN (OWNER/PHARMACIST)
- **Authorized official phone:** (229) 800-8100

## Contact information

- **Practice address:** 1095 US HIGHWAY 82 W, LEESBURG, GA 31763-5803
- **Practice address phone:** (229) 800-8100
- **Practice address fax:** (229) 800-8101
- **Mailing address:** 1095 US HIGHWAY 82 W, LEESBURG, GA 31763-5803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/30/2020
- **Last updated:** 01/20/2022