Individual
COLLEEN MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11449 W PALMETTO PARK RD, BOCA RATON, FL 33428-2659
(561) 962-4006
Mailing address
11449 W PALMETTO PARK RD, BOCA RATON, FL 33428-2659
(561) 962-4006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS53570
FL
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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