Ashley D Sullivan, PHARMD Valid NPI
Individual provider · Pharmacist · O Fallon, MO
- NPI
- 1700170586
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 2010028729 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2011-06-08
- Last updated
- 2011-06-08
Practice location
2300 Highway K, T-1241
O Fallon, MO 63368-6661
(636) 379-1918