Individual
VICTORIA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
110 MAIN ST, HEBRON, CT 06248-1518
(860) 228-3888
Mailing address
101 WITCH MEADOW RD, SALEM, CT 06420-3628
(860) 639-8675
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0012634
CT
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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