Individual
JEREMY ALLAN SULLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3180 N CAMPBELL AVE, TUCSON, AZ 85719-2302
(520) 326-4509
Mailing address
7990 E SNYDER RD APT 22101, TUCSON, AZ 85750-9047
(618) 339-9009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023256
AZ
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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