Owen Sullivan, RPH

NPI 1164474748 · on the registry since 2006 · sole proprietor

Practice

Address: 920 W Main St
Carlinville, IL 62626
Phone: (217) 854-6121
Fax: (217) 854-6131
Organisation at this address: Carlinville Health & Prescription Services
Carlinville Health & Prescriptions Services Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-02-24

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 Illinois