Individual
MARY BARBARA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
MASSACHUSETTS COLLEGE OF PHARMACY AND HEALTH SCIENCES, 25 FOSTER STREET, WORCESTER, MA 01608
(508) 373-0031
(508) 373-0032
Mailing address
PO BOX 585, 439 N.E.MAIN STREET, DOUGLAS, MA 01516-0585
(508) 476-7828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18073
MA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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