Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAURICE E SULLIVAN, R. PH.
Active Sole ProprietorMAURICE E SULLIVAN, R. PH. is a Pharmacist healthcare provider located in RAYMOND, Illinois. NPI 1770508749 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · RAYMOND, IL
Registration Details
- NPI Number
- 1770508749
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2006 (20.083922970321 yrs)
- Last Updated
- Feb 9, 2012
- License
-
51-027702 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
801 N OBANNON STRAYMOND, IL, 625605283Browse IL providers · Browse ZIP 62560
- Phone
- 2178392909
- Fax
- 2178391300
- Primary Specialty
-
Pharmacist
183500000X
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.