National Provider Identifier

Jacinta Marie Sullivan, R.PH.

Jacinta Marie Sullivan, R.PH. is listed in the NPPES registry with a primary specialty of Pharmacist in Tonawanda, NY and a listed phone number of (716) 693-9666.

NPI 1689855777Tonawanda, NYPharmacist

Profile Overview

NPI
1689855777
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
November 17, 2007
Last Updated
November 17, 2007

Practice Location

  • 2330 Niagara Falls Blvd
  • Tonawanda, NY 14150-4759

Phone: (716) 693-9666

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1689855777
Entity Type
Individual
Last Name
Sullivan
First Name
Jacinta
Middle Name
Marie
Name Prefix
Mrs.
Credential
R.PH.
Mailing Street Address
2330 Niagara Falls Blvd
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-4759
Mailing Country
US
Practice Street Address
2330 Niagara Falls Blvd
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-4759
Practice Country
US
Practice Phone
(716) 693-9666
Enumeration Date
November 17, 2007
Last Updated
November 17, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)
Other Identifiers
01478871 (NY)