Individual provider · Type 1 NPI

Charles Robert Sullivan

Pharmacist · Coos Bay, OR

NPI number 1801190194 Active

Practice location

230 E Johnson Ave
Coos Bay, OR 97420-1478

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	0012450 (OR)

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…

4 other providers at this address

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About NPI 1801190194

Charles Robert Sullivan's National Provider Identifier is 1801190194, issued on Dec 31, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Coos Bay, OR. The record was last updated on Dec 31, 2010.