Individual
DR. JOHN P. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PHARMD, RPH
Contact information
Practice address
3920 MYSTIC VALLEY PKWY #1112, MEDFORD, MA 02155-6911
(617) 620-1020
Mailing address
3920 MYSTIC VALLEY PKWY #1112, MEDFORD, MA 02155-6911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH1001193
MA
Other
Enumeration date
04/25/2025
Last updated
04/03/2026
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