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Dorsie Thomas Sullenger
Pharmacist in Rexburg, Idaho
NPI 1831682194

Dorsie Thomas Sullenger is a Pharmacist based in Rexburg, ID. Dorsie Thomas Sullenger practices in Rexburg, ID. The NPI Number for Dorsie Thomas Sullenger is 1831682194 and holds a License No. P4235 (Idaho).

The current practice location address for Dorsie Thomas Sullenger is 450 E Main St, Rexburg, ID and can be reached out via phone at 208-359-6484 and via fax at 208-359-6467. You can also correspond with Dorsie Thomas Sullenger through the mailing address at 450 E MAIN ST, REXBURG, ID - 83440-2048 (mailing address contact number: 208-359-6484).

Location: 450 E Main St, Rexburg, ID, 83440-2048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831682194
Provider Name
Dorsie Thomas Sullenger
Credential
Provider Entity Type
Individual
Gender
Male
Address
450 E Main St, Rexburg, ID, 83440-2048
Phone Number
208-359-6484
Fax Number
208-359-6467
Provider Enumeration Date
06/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
450 E Main St
City
Rexburg
State
Idaho
Zip
83440-2048
Phone Number
208-359-6484
Fax Number
208-359-6467
person
Provider Business Mailing Address Details
Address
450 E Main St
City
Rexburg
State
Idaho
Zip
83440-2048
Phone Number
208-359-6484
Fax Number
208-359-6467
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
P4235 (Idaho)
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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