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Individual

SEAN SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
5000 W PAULINE WHITAKER PKWY, ROGERS, AR 72758-9104
(479) 254-6806
Mailing address
3 FULFORD CIR, BELLA VISTA, AR 72715-6911
(479) 426-6709

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15336
AR

Other

Enumeration date
11/06/2020
Last updated
11/06/2020
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