Organization · Type 2 NPI

Maurice E Sullivan

Community/Retail Pharmacy · Raymond, IL

NPI number 1477539732 Active

Practice location

801 N Obannon St
Raymond, IL 62560-5283

Fax (217) 229-3065

Mailing address

PO Box 588
Raymond, IL 62560-0588

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003X054007502 (IL)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

About NPI 1477539732

Maurice E Sullivan's National Provider Identifier is 1477539732, issued on Dec 19, 2005. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Raymond, IL. The record was last updated on Feb 16, 2017.