Individual provider · Type 1 NPI

Jack Sullivan

Pharmacist · Woodsville, NH

NPI number 1104631399 Active

Practice location

4901 Dartmouth College Hwy
Woodsville, NH 03785-1412

Mailing address

102 Highland Ave
St. Johnsbury, VT 05819-2577

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPHCY-05103 (NH)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

2 other providers at this address

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About NPI 1104631399

Jack Sullivan's National Provider Identifier is 1104631399, issued on Feb 12, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Woodsville, NH. The record was last updated on Mar 24, 2025.