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

MICHAEL ROBERT SULLIVAN

Active Sole Proprietor

MICHAEL ROBERT SULLIVAN is a Pharmacist Clinician (PhC) healthcare provider located in STAMFORD, Connecticut. NPI 1689927915 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · STAMFORD, CT

Registration Details

NPI Number
1689927915
Provider Type
Individual
Gender
Male
NPI Issued
Oct 24, 2012 (13.841025678664 yrs)
Last Updated
Oct 24, 2012
License
PCT.0008488 (CT)
Sole Proprietor
Yes

Practice Information

Address
41 BUENA VISTA ST
STAMFORD, CT, 069072402
Browse CT providers · Browse ZIP 06907
Phone
2033169270
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X

Other Pharmacist Clinician (PhC) Providers in STAMFORD, CT

Name Credential NPI
STEPHANIE RAMIREZ 1659833762
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.