Individual
MRS. MARY ELIZABETH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
120 STOCKWELL DR, AVON, MA 02322-1149
(508) 232-4003
(508) 232-4011
Mailing address
120 STOCKWELL DR, AVON, MA 02322-1149
(508) 232-4003
(508) 232-4011
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20851
MA
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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