Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TERRY EUGENE SULLIVAN, PHARM. D.
Active Sole ProprietorMR. TERRY EUGENE SULLIVAN, PHARM. D. is a Pharmacist healthcare provider located in MAKANDA, Illinois. NPI 1790468734 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · MAKANDA, IL
Registration Details
- NPI Number
- 1790468734
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2023 (3.0222791089981 yrs)
- Last Updated
- Aug 8, 2023
- License
-
051.293726 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
470 SULLIVAN RDMAKANDA, IL, 629584005Browse IL providers · Browse ZIP 62958
- Phone
- 6186972861
- 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.