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Individual

DR. SHALONIE ROCHELLE SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, BCACP

Contact information

Practice address
41 PARK CREEK DR, GOPC: PHARMACY DEPT, GREENVILLE, SC 29605-4270
(864) 299-1600
(864) 422-2614
Mailing address
105 CHATIM RIDGE CT, LYMAN, SC 29365-9005
(864) 517-5252

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202207612
VA
183500000X
Pharmacist
11661
SC
183500000X
Pharmacist
18433
MD
1835P2201X
Ambulatory Care Pharmacist
Primary
11661
SC

Other

Enumeration date
08/17/2007
Last updated
07/01/2016
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