Individual
ADAM JACK SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5269 CALHOUN MEMORIAL HWY, EASLEY, SC 29640-3865
(864) 859-7168
Mailing address
5269 CALHOUN MEMORIAL HWY, EASLEY, SC 29640-3865
(864) 859-7168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13316
SC
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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