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Jacob Sullivan, RPH
NPI 1164916656 · on the registry since 2018 · sole proprietor
Practice
- Address
- 23102 E Appleway Ave
Liberty Lake, WA 99019 - Phone
- (509) 928-8738
- Organisation at this address
- Bellevue Healthcare Ii Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-18
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 Washington