Stacie Sullivan, PHARMD

Pharmacist · Magee, MS

Individual Active NPI

NPI number 1467048686

Practice location

1625 Simpson Highway 49
Magee, MS 39111-4207
Phone
(601) 849-3228

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NPI record

NPI
1467048686
Entity type
Individual (Type 1)
Enumeration date
December 13, 2020
Last updated
December 13, 2020
Certified
December 13, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X E-010525 MS

Mailing address

543 Simpson Highway 540
Mendenhall, MS 39114-9065
Phone
(601) 919-7557

About Dr. Sullivan

Stacie Sullivan, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1625 Simpson Highway 49, Magee, MS 39111-4207. The NPI number 1467048686 was assigned on December 13, 2020 and the record was last updated on December 13, 2020.

Dr. Sullivan lists a license in the registry: #E-010525 (MS) 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 Stacie Sullivan, PHARMD?

The NPI number is 1467048686.

What is the phone number of Dr. Sullivan?

The phone number listed for the practice location is (601) 849-3228.

Where is Dr. Sullivan located?

1625 Simpson Highway 49, Magee, MS 39111-4207.

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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