| Dr Stephen John Sullivan Jr, PHARMD | |
|
30 Nightingale Road, Edwards Afb, CA 93524-0001 | |
| (661) 275-2769 | |
| Not Available |
| Full Name | Dr Stephen John Sullivan Jr |
|---|---|
| Gender | Male |
| Speciality | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist |
| Location | 30 Nightingale Road, Edwards Afb, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164956421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | RP00008628 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen John Sullivan Jr, PHARMD 30 Nightingale Road, Edwards Afb, CA 93524-0001 Ph: (661) 275-2769 | Dr Stephen John Sullivan Jr, PHARMD 30 Nightingale Road, Edwards Afb, CA 93524-0001 Ph: (661) 275-2769 |
Scott Anthony Baker, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 30 Nightingale Rd, Edwards Afb, CA 93524 Phone: 661-277-2052 | |
Jesse Lee, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 30 Nightingale Rd Bldg 5525, Edwards Afb, CA 93524 Phone: 661-275-2769 |