Individual
MRS. JENNIFER J SULLIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
440 HIGHWAY 6 E, BATESVILLE, MS 38606-3000
(662) 855-1204
(662) 855-1218
Mailing address
1505 SULLIVANT RD, BATESVILLE, MS 38606-7239
(662) 578-2999
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-8654
MS
Other
Enumeration date
04/06/2007
Last updated
02/11/2021
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