Individual
DR. JULIE ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 BROWN RD, SAINT LOUIS, MO 63114-4328
(314) 427-6221
Mailing address
11680 PENMAR DR, MARYLAND HEIGHTS, MO 63043-1308
(314) 920-3860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2011027374
MO
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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