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Grant Sullivan, RPH
NPI 1023135944 · on the registry since 2007 · sole proprietor
Practice
- Address
- 625 W Clinton St
Ithaca, NY 14850 - Phone
- (607) 273-3647
- Organisation at this address
- Cvs Albany Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York