Organization
PHARM-MED CORPORATION
Active
Other names
The Pharmacy Shop
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE F SULLIVAN III PHARMD (DOCTOR OF PHARMACY)
(859) 421-0639
Entity
Organization
Contact information
Practice address
450 SOUTHLAND DR STE A, LEXINGTON, KY 40503-1831
(859) 278-7282
(859) 278-7299
Mailing address
450 SOUTHLAND DR STE A, LEXINGTON, KY 40503-1831
(859) 278-7282
(859) 278-7299
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
KY08745
KY
Other
Enumeration date
05/10/2007
Last updated
01/22/2019
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