Individual
JOHN F SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
44 TIMBER LN, METHUEN, MA 01844-4644
(978) 685-1923
Mailing address
44 TIMBER LN, METHUEN, MA 01844-4644
(978) 685-1923
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15022
MA
183500000X
Pharmacist
1744
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15022
PHARMACY REGISTRATION #
MA
01
—
1744
NH REGISTRATION #
NH
Enumeration date
05/09/2007
Last updated
07/08/2007
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