Organization
SULLIVAN DRUGS INC
Active
Other names
SULLIVAN DRUGS INC
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA CLIFTON PHARMD (PHARMACIST/OWNER)
(706) 384-2022
Entity
Organization
Contact information
Practice address
9613 LAVONIA RD, CARNESVILLE, GA 30521-3254
(706) 384-2022
(706) 384-2118
Mailing address
PO BOX 69, CARNESVILLE, GA 30521-0069
(706) 384-2022
(706) 384-2118
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE000118
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00036484A4
—
GA
01
—
2015975
PK
—
Enumeration date
11/20/2006
Last updated
03/04/2026
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