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Dr. Stephen John Sullivan JR., PHARMD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Edwards Afb, California
NPI 1164956421

Stephen John Sullivan JR. is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Edwards Afb, CA and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Stephen John Sullivan JR. practices in Edwards Afb, CA and has the professional credentials of PHARMD. The NPI Number for Stephen John Sullivan JR. is 1164956421 and holds a License No. RP00008628 (California).

The current practice location address for Stephen John Sullivan JR. is 30 Nightingale Road, Edwards Afb, CA and can be reached out via phone at 661-275-2769.

Location: 30 Nightingale Road, Edwards Afb, CA, 93524-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164956421
Provider Name
Stephen John Sullivan JR.
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
30 Nightingale Road, Edwards Afb, CA, 93524-0001
Phone Number
661-275-2769
Fax Number
Provider Enumeration Date
04/13/2017
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
30 Nightingale Road
City
Edwards Afb
State
California
Zip
93524-0001
Phone Number
661-275-2769
Fax Number
person
Provider Business Mailing Address Details
Address
30 Nightingale Road
City
Edwards Afb
State
California
Zip
93524-0001
Phone Number
661-275-2769
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
RP00008628 (New Mexico)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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