Individual
DR. CHRISTOPHER JAMES SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6310 S ELM PL, BROKEN ARROW, OK 74011-4100
(918) 455-4386
Mailing address
9811 E 99TH PL, TULSA, OK 74133-5190
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16235
OK
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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