Individual
LYNETTE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2414 KOHLER MEMORIAL DR, PHARMACY, SHEBOYGAN, WI 53081-3129
(920) 459-2630
Mailing address
2414 KOHLER MEMORIAL DR, PHARMACY, SHEBOYGAN, WI 53081-3129
(920) 459-2630
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17792-40
WI
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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