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Sullivan S Drug Llc
Durable Medical Equipment & Medical Supplies in Bacliff, Texas
NPI 1215064340

Sullivan S Drug Llc is a Durable Medical Equipment & Medical Supplies based in Bacliff, TX. Sullivan S Drug Llc practices in Bacliff, TX. The NPI Number for Sullivan S Drug Llc is 1215064340 and holds a License No. 13309 (Texas).

The current practice location address for Sullivan S Drug Llc is 1140 Grand Ave, Bacliff, TX and can be reached out via phone at 281-339-4577 and via fax at 281-559-4339.

Location: 1140 Grand Ave, Bacliff, TX, 77518-2760
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215064340
Provider Name
Sullivan S Drug Llc
Credential
Provider Entity Type
Organization
Address
1140 Grand Ave, Bacliff, TX, 77518-2760
Phone Number
281-339-4577
Fax Number
281-559-4339
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
011509901 05 TX
010086901 05 TX
institution
Provider Business Practice Location Address Details
Address
1140 Grand Ave
City
Bacliff
State
Texas
Zip
77518-2760
Phone Number
281-339-4577
Fax Number
281-559-4339
person
Provider Business Mailing Address Details
Address
1140 Grand Ave
City
Bacliff
State
Texas
Zip
77518-2760
Phone Number
281-339-4577
Fax Number
281-559-4339
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
13309 (Texas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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