Individual
TIMOTHY JAMES SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
92 SOUTH ST, CONCORD, NH 03301-2826
(603) 228-8400
(603) 228-0272
Mailing address
92 SOUTH ST, CONCORD, NH 03301-2826
(603) 831-3056
(603) 228-0272
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT123588
NH
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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