Individual
JOSEPH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
31 HANNAFORD DR, SCARBOROUGH, ME 04074-9057
(207) 883-7674
Mailing address
31 HANNAFORD DR, SCARBOROUGH, ME 04074-9057
(207) 883-7674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5730
ME
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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