Individual
DR. JADE LASSEIGNE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
4689 CENTER POINT RD, PINSON, AL 35126-4207
(205) 680-2751
(205) 680-6751
Mailing address
4689 CENTER POINT RD, PINSON, AL 35126-4207
(205) 680-2751
(205) 680-6751
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16746
AL
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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