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Individual

MR. JAMIE FLOYD SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Mailing address
4101 DEARING DOWNS DR, TUSCALOOSA, AL 35405-4657
(205) 554-2000

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10297
AL

Other

Enumeration date
04/28/2006
Last updated
07/08/2007
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