Individual
DR. EMILY ELIZABETH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCACP
Contact information
Practice address
1111 N ROOSEVELT DR, SEASIDE, OR 97138-4607
(503) 738-3002
(503) 738-3005
Mailing address
1426 8TH ST, ASTORIA, OR 97103-5221
(218) 205-7559
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH60295014
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0017610
OR
Other
Enumeration date
04/30/2013
Last updated
05/26/2023
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