Individual
DELANIE AUTUMN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
231 NORTHGATE DR STE 100, MCMINNVILLE, TN 37110-1436
(931) 474-5050
(931) 474-5053
Mailing address
673 HICKORY BLVD, MCMINNVILLE, TN 37110-3654
(931) 212-5105
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36903
TN
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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