Individual provider · Type 1 NPI

Thomas Edward Sullivan, R.PH.

Pharmacist · St. Augustine, FL

NPI number 1215064050 Active

Practice location

1010 S. Ponce Deleon Blvd, Winn-Dixie Pharmacy
St. Augustine, FL 32084

Call (904) 825-2181 Map

Fax (904) 829-3643

Mailing address

1563 Barrington Cir
St. Augustine, FL 32092-3619

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	PS25069 (FL)
Pharmacist	183500000X	NC 8523 (NC)
Pharmacist	183500000X	MA 15211 (MA)

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…

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About NPI 1215064050

Thomas Edward Sullivan, R.PH.'s National Provider Identifier is 1215064050, issued on Feb 28, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in St. Augustine, FL. The record was last updated on Jul 8, 2007.