Individual
EDWARD HOWARD SULKOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4038 DAYTON BLVD, RED BANK, TN 37415-7123
(423) 877-2431
Mailing address
1633 LAKE MARINA DR, HIXSON, TN 37343-4642
(423) 876-7374
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3291
TN
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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