Organization
SULLIVAN DRUG COMPANY
Active
Other names
The Pharmhouse
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA SULLIVAN (OWNER/PHARMACIST)
(229) 800-8100
Entity
Organization
Contact information
Practice address
1095 US HIGHWAY 82 W, LEESBURG, GA 31763-5803
(229) 800-8100
(229) 800-8101
Mailing address
1095 US HIGHWAY 82 W, LEESBURG, GA 31763-5803
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
01/20/2022
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