Individual
THOMAS S. SULLIVAN
Active
Individual
THOMAS S. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., R.PH., BCNSP
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302025761
MI
1835N1003X
Nutrition Support Pharmacist
Primary
5302025761
MI
Other
Enumeration date
09/09/2005
Last updated
04/07/2022
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