Individual
STEPHEN SULLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
(928) 537-6321
(928) 537-7814
Mailing address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
(928) 537-6321
(928) 537-7814
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
S013199
AZ
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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