Charles Robert Sullivan

Pharmacist · Coos Bay, OR

Individual Active NPI

NPI number 1801190194

Practice location

230 E Johnson Ave
Coos Bay, OR 97420-1478
Phone
(541) 267-1709

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NPI record

NPI
1801190194
Entity type
Individual (Type 1)
Enumeration date
December 31, 2010
Last updated
December 31, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 0012450 OR

About Charles Sullivan

Charles Robert Sullivan is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 230 E Johnson Ave, Coos Bay, OR 97420-1478. The NPI number 1801190194 was assigned on December 31, 2010 and the record was last updated on December 31, 2010.

Charles Sullivan lists a license in the registry: #0012450 (OR) 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 Charles Robert Sullivan?

The NPI number is 1801190194.

What is the phone number of Charles Sullivan?

The phone number listed for the practice location is (541) 267-1709.

Where is Charles Sullivan located?

230 E Johnson Ave, Coos Bay, OR 97420-1478.

What is the taxonomy code for Charles 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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