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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRANT E SULLIVAN, RPH

Active Sole Proprietor

Pharmacist · ITHACA, NY

Registration Details

NPI Number
1023135944
Provider Type
Individual
Gender
Male
NPI Issued
Mar 24, 2007 (19.078832940317 yrs)
Last Updated
Jul 18, 2023
License
034960 (NY)
Sole Proprietor
Yes

Practice Information

Address
625 W CLINTON ST
ITHACA, NY, 148505235
Browse NY providers · Browse ZIP 14850
Phone
6072733647
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in ITHACA, NY

Name Credential NPI
TRACEY DENARDO 1114992880
MS. JULIE WILMOT LEVINE PHARMACIST 1609841089
CYNTHIA DUDEK PHARMACIST 1396711883
DANITA L KETCHUM RPH 1114044039
MR. PHILIP CORNELL 1700086261
DR. CATHERINE IRENE KOVACIK PHARM. D. 1679762231
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.