Individual
KARI A SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
115 E MAPLE ST, NEW LENOX, IL 60451-1833
(815) 215-3183
Mailing address
115 E MAPLE ST, NEW LENOX, IL 60451-1833
(815) 215-3183
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051040468
IL
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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