Susan Michele Sullivan, PHARMD

Pharmacist · Walnut Ridge, AR

Individual Active NPI

NPI number 1407457641

Practice location

1600 W Main St
Walnut Ridge, AR 72476-9401
Phone
(870) 886-2806

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NPI record

NPI
1407457641
Entity type
Individual (Type 1)
Enumeration date
November 4, 2020
Last updated
November 4, 2020
Certified
November 4, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PD08754 AR

Mailing address

510 Herbie Rd
Ravenden Springs, AR 72460-9340
Phone
(870) 219-2078

About Dr. Sullivan

Susan Michele Sullivan, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1600 W Main St, Walnut Ridge, AR 72476-9401. The NPI number 1407457641 was assigned on November 4, 2020 and the record was last updated on November 4, 2020.

Dr. Sullivan lists a license in the registry: #PD08754 (AR) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Susan Michele Sullivan, PHARMD?

The NPI number is 1407457641.

What is the phone number of Dr. Sullivan?

The phone number listed for the practice location is (870) 886-2806.

Where is Dr. Sullivan located?

1600 W Main St, Walnut Ridge, AR 72476-9401.

What is the taxonomy code for Dr. Sullivan?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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