Organization Name: | SULLIVAN SPECIALTY PHARMACY |
NPI Number: | 1821402728 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL SULLIVAN (DIRECTOR) |
Mailing Address: | 2204 Pavilion Dr Suite 105 Kingsport |
State: | TN US |
Postal Code: | 376604657 |
Phone Number: | 4233926109 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2014 |
NPI Last Update Date: | 06/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | 5400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |