Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK SULLIVAN
Active Sole ProprietorJACK SULLIVAN is a Pharmacist healthcare provider located in WOODSVILLE, New Hampshire. NPI 1104631399 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · WOODSVILLE, NH
Registration Details
- NPI Number
- 1104631399
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2025 (1.4760573528812 yrs)
- Last Updated
- Mar 24, 2025
- License
-
PHCY-05103 (NH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4901 DARTMOUTH COLLEGE HWYWOODSVILLE, NH, 037851412Browse NH providers · Browse ZIP 03785
- Phone
- 6037473355
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in WOODSVILLE, NH
| Name | Credential | NPI |
|---|---|---|
| MR. PETER GEORGE CATALDO | RPH | 1558654632 |
| MR. JAMES THOMAS PALMERCHUCK | RPH | 1255611455 |
| DR. MATTHEW N FLINT | PHARMD. | 1528406857 |
| DR. DAVID ANDREW WOOD | PHARMD | 1760811657 |
| EVAN PAUL KOWALSKI | PHARMD | 1831608538 |
| JONATHON ROBERT GORSHACK | — | 1437751526 |
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.