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VICTORIA SULLIVAN PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1306411970

Individual Registrant:
 VICTORIA  SULLIVAN PHARMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
110 MAIN ST  HEBRON, CT 06248-1518 US
Tel: 860-228-3888  Fax: --

Contact information for business:
101 WITCH MEADOW RD  SALEM, CT 06420-3628 US
Tel: 860-639-8675  Fax: --

Registration Information:
NPI: 1306411970
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CTPCT.0012634

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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