Individual
BARBARA NICOLE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1080 ALICE DR, SUMTER, SC 29150-2463
(803) 778-0460
Mailing address
807 WOODSTONE DR APT E, FLORENCE, SC 29501-5572
(864) 360-2811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37245
SC
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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