Individual
CHRIS A SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
20205 N 67TH AVE, GLENDALE, AZ 85308-6659
(623) 572-8844
(623) 572-8837
Mailing address
20205 N 67TH AVE, GLENDALE, AZ 85308-6659
(623) 572-8844
(623) 572-8837
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S10888
AZ
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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