Individual provider · Type 1 NPI
Thomas S. Sullivan, M.S., R.PH., BCNSP
Nutrition Support Pharmacist · Warren, MI
NPI number
1477547933
Active
Practice location
21230 Dequindre Rd
Warren, MI 48091-2279
Mailing address
324 Belanger St
Grosse Pointe Farms, MI 48236-3302
Other practice locations
- 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 · (313) 640-2385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | 5302025761 (MI) |
| Nutrition Support Pharmacist Primary | 1835N1003X | 5302025761 (MI) |
Nutrition Support Pharmacist: A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
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About NPI 1477547933
Thomas S. Sullivan, M.S., R.PH., BCNSP's National Provider Identifier is 1477547933, issued on Sep 9, 2005. The primary taxonomy on file is Nutrition Support Pharmacist (1835N1003X), and the practice location is in Warren, MI. The record was last updated on Apr 7, 2022.