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Individual

MRS. VALERIE FAYE SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2800 WEST MAIN STREET, SENIOR RX, TUPELO, MS 38801
(662) 840-1022
(662) 840-4677
Mailing address
2800 WEST MAIN STREET, TUPELO, MS 38801
(662) 840-1022
(662) 840-4677

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P-07091
MS

Other

Enumeration date
09/14/2015
Last updated
09/14/2015
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