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Thomas S. Sullivan, MS,RPH,BCNSP
Nutrition Support Pharmacist in Warren, Michigan
NPI 1477547933

Thomas S. Sullivan is a Nutrition Support Pharmacist based in Grosse Pointe Farms, MI and is specialized in Nutrition Support. Thomas S. Sullivan practices in Warren, MI and has the professional credentials of MS,RPH,BCNSP. The NPI Number for Thomas S. Sullivan is 1477547933 and holds a License No. 5302025761 (Michigan).

The current practice location address for Thomas S. Sullivan is 21230 Dequindre Rd, Warren, MI and can be reached out via phone at 586-880-2483.

Location: 21230 Dequindre Rd, Warren, MI, 48236-3302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477547933
Provider Name
Thomas S. Sullivan
Credential
MS,RPH,BCNSP
Provider Entity Type
Individual
Gender
Male
Address
21230 Dequindre Rd, Warren, MI, 48236-3302
Phone Number
586-880-2483
Fax Number
Provider Enumeration Date
09/09/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
21230 Dequindre Rd
City
Warren
State
Michigan
Zip
48091-2279
Phone Number
586-880-2483
Fax Number
person
Provider Business Mailing Address Details
Address
21230 Dequindre Rd
City
Warren
State
Michigan
Zip
48091-2279
Phone Number
586-880-2483
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302025761 (Michigan)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Nutrition Support
Taxonomy
1835N1003X
License No.
5302025761 (Michigan)
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
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