Organization
SULLIVAN'S PHARMACY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA MORRISON CPT (CERTIFIED PHARMACY TECH/MANAGER)
(225) 654-3901
Entity
Organization
Contact information
Practice address
4651 HIGHWAY 19, ZACHARY, LA 70791-3525
(225) 654-3901
(225) 654-3685
Mailing address
4651 HIGHWAY 19, ZACHARY, LA 70791-3525
(225) 654-3901
(225) 654-3685
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
LA1911-IR
LA
333600000X
Pharmacy
LA1911-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255572
—
LA
Enumeration date
05/30/2006
Last updated
09/11/2025
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