Mrs Connie Rae Sullivan, RPH is a
Pharmacist based in Lyons, Colorado. Mrs Connie Rae Sullivan is licensed to practice in Minnesota (license number 117137-8) and her current practice location is
7 Eagle Nest Lane, Lyons, Colorado. She can be reached at her office (for appointments etc.) via phone at
(303) 823-0406.
NPI number for Mrs Connie Rae Sullivan is 1710142146 and her current mailing address is Po Box 1370, 7 Eagle Nest Lane, Lyons, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710142146.
Healthcare Provider's Profile
| Full Name | Mrs Connie Rae Sullivan |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
|---|
| Location | 7 Eagle Nest Lane, Lyons, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710142146
- Provider Enumeration Date: 07/24/2008
- Last Update Date: 07/24/2008
Medical Identifiers
Medical identifiers for Mrs Connie Rae Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710142146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 183500000X | Pharmacist | 117137-8 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Connie Rae Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Connie Rae Sullivan, RPH Po Box 1370, 7 Eagle Nest Lane, Lyons, CO 80540-1370 Ph: (303) 823-0406 | Mrs Connie Rae Sullivan, RPH 7 Eagle Nest Lane, Lyons, CO 80540-1370 Ph: (303) 823-0406 |
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