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VICTORIA SULLIVAN PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1306411970
Individual Registrant: VICTORIA SULLIVAN PHARMD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
110 MAIN ST HEBRON, CT 06248-1518 US
Tel: 860-228-3888 Fax: --
Tel: 860-228-3888 Fax: --
Contact information for business:
101 WITCH MEADOW RD SALEM, CT 06420-3628 US
Tel: 860-639-8675 Fax: --
Tel: 860-639-8675 Fax: --
Registration Information:
NPI: 1306411970
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CT | PCT.0012634 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
