Individual
DR. WHITNIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1037 W 1700 S, SYRACUSE, UT 84075-9129
(801) 614-1299
Mailing address
1037 W 1700 S, SYRACUSE, UT 84075-9129
(801) 614-1299
(801) 614-1320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9077532-1701
UT
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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