Charles Edward Sullivan, PharmD
Pharmacist in Erie, PA. Individual provider (NPI-1).
NPI number1104540293
StatusActive
Last updated in NPPESOct 3, 2022
Details
- NPI
- 1104540293
- Entity type
- Individual (NPI-1)
- Name
- Charles Edward Sullivan
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 3, 2022
- Certification date
- Oct 1, 2022
- Last updated
- Oct 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RP456483 | PA | Yes |
Practice location
3800 Pine AveErie, PA 16504-2328
Phone 814-825-1564
Mailing address
1133 W 27th StErie, PA 16508-1523
Phone 814-572-6642
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All 292 Pharmacist providers in Erie · All 6,412 providers in Erie
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