NPI 1407457641

Susan Michele Sullivan, PHARMD

Practitioner Pharmacist Walnut Ridge, AR

Practice location

Address: 1600 W Main St, Walnut Ridge, AR 72476-9401
Phone: (870) 886-2806
Mailing address: 510 Herbie Rd, Ravenden Springs, AR 72460-9340

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PD08754 (AR)

Other Pharmacist providers in Arkansas →

Registry record

NPI: 1407457641
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Nov 2020
Record last updated: 4 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.