Mr Terry Eugene Sullivan, PHARM D is a
Pharmacist based in Makanda, Illinois. Mr Terry Eugene Sullivan is licensed to practice in Illinois (license number 051.293726) and his current practice location is
470 Sullivan Rd, Makanda, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 697-2861.
NPI number for Mr Terry Eugene Sullivan is 1790468734 and his current mailing address is 470 Sullivan Rd, Makanda, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790468734.
Healthcare Provider's Profile
Full Name | Mr Terry Eugene Sullivan |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 470 Sullivan Rd, Makanda, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790468734
- Provider Enumeration Date: 08/08/2023
- Last Update Date: 08/08/2023
Medical Identifiers
Medical identifiers for Mr Terry Eugene Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790468734 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 051.293726 (Illinois) | 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. Mr Terry Eugene 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 |
Mr Terry Eugene Sullivan, PHARM D 470 Sullivan Rd, Makanda, IL 62958-4005 Ph: (618) 697-2861 | Mr Terry Eugene Sullivan, PHARM D 470 Sullivan Rd, Makanda, IL 62958-4005 Ph: (618) 697-2861 |
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