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Contact Information

THOMAS E SULLIVAN, R.PH.
1010 S. PONCE DELEON BLVD
WINN-DIXIE PHARMACY
SAINT AUGUSTINE, FL32084
 Phone: 904-825-2181
 Fax: 904-829-3643
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for THOMAS E SULLIVAN · (Male)

NPI Number 1215064050
Status Active
Credentials R.PH. (Registered Pharmacist)
Entity Individual
Enumeration date 02/28/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PS25069
  • MA License # MA 15211
  • NC License # NC 8523
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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