Individual
MRS. SHERRI DAWN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
105 N KEENE ST, 200, COLUMBIA, MO 65201-8131
(573) 817-8527
Mailing address
2308 S HASTINGS CT, COLUMBIA, MO 65203-7238
(573) 446-9517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044189
MO
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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