Individual
AMBERLEA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
11205 E STATE ROAD 70, LAKEWOOD RANCH, FL 34202-9404
(941) 727-4962
Mailing address
11205 E STATE ROAD 70, LAKEWOOD RANCH, FL 34202-9404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS52218
FL
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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