Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLYN MARIE SULLIVAN, PHARMD
Active Sole ProprietorKAITLYN MARIE SULLIVAN, PHARMD is a Long-Term Care Pharmacy healthcare provider located in RUSSELLTON, Pennsylvania. NPI 1710477062 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · RUSSELLTON, PA
Registration Details
- NPI Number
- 1710477062
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 12, 2018 (8.0703618484622 yrs)
- Last Updated
- Apr 10, 2024
- License
-
RP452064 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
738 LITTLE DEER CREEK VALLEY RDRUSSELLTON, PA, 150761333Browse PA providers · Browse ZIP 15076
- Phone
- 7242651632
- Fax
- 7242651120
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
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.