Individual provider · Type 1 NPI

Luke Mackenzie Sullivan

Pharmacist · Fort Payne, AL

NPI number 1467964080 Active

Practice location

1303 Gault Ave N
Fort Payne, AL 35967-3141

Call (256) 845-6338 Map

Mailing address

227 Trailing Creek Rd NW
Madison, AL 35757-6349

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X20120 (AL)

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 1467964080

Luke Mackenzie Sullivan's National Provider Identifier is 1467964080, issued on Nov 5, 2017. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Payne, AL. The record was last updated on Nov 5, 2017.