Individual
DR. JENNIFER BRIDGET SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
310 E MARTINTOWN RD, NORTH AUGUSTA, SC 29841-4261
(803) 278-3370
Mailing address
310 E MARTINTOWN RD, NORTH AUGUSTA, SC 29841-4261
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH35918
SC
183500000X
Pharmacist
RPH028268
GA
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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