Most Relevant Information
Provider Data
| NPI Number: | 1003197625 |
| Provider Name: | DAVID CLAY SULLIVAN PHARM D |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 25997 |
Most Important Dates
| Enumeration Date: | 09/09/2011 |
| Last Updated: | 09/16/2011 |
Provider Practice Location
107 HIGH ST
DANVERS
MA
019233113
Practice Location Phone/Fax
| Phone: | 9787620049 |
| Fax: | 9787623116 |
Provider Mailing Location
107 HIGH ST
DANVERS
MA
019233113
Provider Mailing Phone/Fax
| Phone: | 9787620049 |
| Fax: | 9787623116 |