Individual
MRS. PENNY ANN SULLIVAN-GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
508 E WALNUT ST, PARIS, AR 72855-4019
(479) 963-6400
(479) 963-2103
Mailing address
129 N REVEILLE ST, MAGAZINE, AR 72943-8422
(817) 991-2918
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
33123
TX
183500000X
Pharmacist
Primary
PD16404
AR
Other
Enumeration date
11/06/2006
Last updated
07/08/2024
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