Individual
MRS. CARLETTE A SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
3700 HIGHWAY 365, PORT ARTHUR, TX 77642-7709
(409) 724-7314
(409) 724-0846
Mailing address
3700 HIGHWAY 365, PORT ARTHUR, TX 77642-7709
(409) 724-1914
(409) 724-0846
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30556
TX
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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