Sullivan, Thomas Edward

Sullivan, Thomas Edward is an individual health care provider with primary practice located at 1010 S. Ponce Deleon Blvd Winn-Dixie Pharmacy, St Augustine FL 32084. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Sullivan, Thomas Edward can be contacted via phone (904) 825-2181.

Contact Information

Primary practice address
1010 S. Ponce Deleon Blvd Winn-Dixie Pharmacy St Augustine FL 32084
Phone: (904) 825-2181
Fax: (904) 829-3643
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS25069 Florida
Pharmacy Service Providers / Pharmacist 183500000X NC 8523 North Carolina
Pharmacy Service Providers / Pharmacist 183500000X MA 15211 Massachusetts

Profile Details

NPI number 1215064050
LBN Legal business name Sullivan, Thomas Edward
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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