Individual
DR. ASHLEY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
9010 N 121ST EAST AVE, OWASSO, OK 74055-5358
(918) 401-8001
(918) 401-1950
Mailing address
9010 N 121ST EAST AVE, OWASSO, OK 74055-5358
(918) 401-8001
(918) 401-1950
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15455
OK
Other
Enumeration date
07/22/2013
Last updated
06/29/2016
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