Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS S. SULLIVAN, M.S., R.PH., BCNSP
ActiveTHOMAS S. SULLIVAN, M.S., R.PH., BCNSP is a Nutrition Support Pharmacist healthcare provider located in WARREN, Michigan. NPI 1477547933 is currently active in the NPPES registry. Verify at CMS.
Nutrition Support Pharmacist · WARREN, MI
Registration Details
- NPI Number
- 1477547933
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2005 (20.912303094572 yrs)
- Last Updated
- Apr 7, 2022
- Licenses
-
5302025761 (MI)5302025761 (MI)
Practice Information
- Address
-
21230 DEQUINDRE RDWARREN, MI, 480912279Browse MI providers · Browse ZIP 48091
- Phone
- 5868802483
- Primary Specialty
-
Nutrition Support Pharmacist
1835N1003X
- Additional Specialty
- Nutrition Support Pharmacist
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.