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Individual

DR. DONALD LAWRENCE SULLIVAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
R.PH., PH.D.

Contact information

Practice address
OHIO NORTHERN UNIVERSITY, COLLEGE OF PHARMACY, ADA, OH 45810
(419) 772-2309
Mailing address
1622 MEADOWLARK LN, MARYSVILLE, OH 43040-8495
(937) 644-2970
(419) 772-1917

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-3-18337
OH

Other

Enumeration date
10/31/2005
Last updated
07/08/2007
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