Individual provider · Type 1 NPI

Dorsie Thomas Sullenger

Pharmacist · Rexburg, ID

NPI number 1831682194 Active

Practice location

450 E Main St
Rexburg, ID 83440-2048

Call (208) 359-6484 Map

Fax (208) 359-6467

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP4235 (ID)

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 1831682194

Dorsie Thomas Sullenger's National Provider Identifier is 1831682194, issued on Jun 12, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Rexburg, ID. The record was last updated on Jun 12, 2018.