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Mr. Terry Eugene Sullivan, PHARMD
Pharmacist in Makanda, Illinois
NPI 1790468734

Terry Eugene Sullivan is a Pharmacist based in Makanda, IL. Terry Eugene Sullivan practices in Makanda, IL and has the professional credentials of PHARMD. The NPI Number for Terry Eugene Sullivan is 1790468734 and holds a License No. 051.293726 (Illinois).

The current practice location address for Terry Eugene Sullivan is 470 Sullivan Rd, Makanda, IL and can be reached out via phone at 618-697-2861.

Location: 470 Sullivan Rd, Makanda, IL, 62958-4005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790468734
Provider Name
Terry Eugene Sullivan
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
470 Sullivan Rd, Makanda, IL, 62958-4005
Phone Number
618-697-2861
Fax Number
Provider Enumeration Date
08/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
470 Sullivan Rd
City
Makanda
State
Illinois
Zip
62958-4005
Phone Number
618-697-2861
Fax Number
person
Provider Business Mailing Address Details
Address
470 Sullivan Rd
City
Makanda
State
Illinois
Zip
62958-4005
Phone Number
618-697-2861
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051.293726 (Illinois)
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.
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