Individual
ANNMARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9161 HIGHWAY 29 S, HULL, GA 30646-3772
(706) 613-1734
Mailing address
6081 LONGWOOD CHASE, CANTON, GA 30115-2810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030616
GA
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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