Connie Rae Sullivan, R.PH. Valid NPI

Individual provider · Pharmacist · Lyons, CO

NPI

1710142146

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

117137-8 (MN)

Sex

Female

Sole proprietor

Yes

Enumerated

2008-07-24

Last updated

2008-07-24