Sullivan Drugs Inc in Mount Olive - Community/retail Pharmacy
Sullivan Drugs Inc - NPI 1871578583
Sullivan Drugs Inc is a Community/retail Pharmacy in Mount Olive, Illinois. Sullivan Drugs Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Sullivan Drugs Inc is 1871578583. The last update date is 2016-06-09.
Sullivan Drugs Inc's current location address is 103 W Main St, Mount Olive, Illinois. You can contact this provider via phone number 2179997321 and fax number 2179993233. The mailing address for Sullivan Drugs Inc is 103 W Main St, Mount Olive, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sullivan Drugs Inc |
|---|---|
| Address | 103 W Main St, Mount Olive, Illinois |
| Phone Number | 2179997321 |
| Fax Number | 2179993233 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sullivan Maurice |
| Credentials | R.PH. |
| Telephone Number | 2178392909 |
NPI Number Detail
| NPI Number | 1871578583 |
|---|---|
| Provider Enumeration Date | 2005-12-14 |
| Last Updated Date | 2016-06-09 |
Provider Mailing Address Detail
| Address | 103 W Main St |
|---|---|
| City | Mount Olive |
| State | Illinois (IL) |
| Post Code | 62069 |
| Phone Number | 2179997321 |
| Fax Number | 2179993233 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 54003991 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2023241 | PK |
Post Comment/ Review Below
What is the unique provider identifier assigned to Sullivan Drugs Inc?
The Sullivan Drugs Inc has been issued the NPI (National Provider Identifier) 1871578583 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Sullivan Drugs Inc is physically located?
The Sullivan Drugs Inc is situated at the following address: 103 W Main St, Mount Olive, IL 62069.
What is Sullivan Drugs Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sullivan Drugs Inc is Community/retail Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services assign the 1871578583 to Sullivan Drugs Inc?
The Centers for Medicare & Medicaid Services assigned the 1871578583 to Sullivan Drugs Inc on 2005-12-14.
When was the information related to Sullivan Drugs Inc most recently updated or refreshed?
The details pertaining to the Sullivan Drugs Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-06-09.
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