Steve Haden Sullivan, PD is a
Pharmacist based in Horatio, Arkansas. Steve Haden Sullivan is licensed to practice in Arkansas (license number PD06508) and his current practice location is
208 Main St., Horatio, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(870) 832-2561.
NPI number for Steve Haden Sullivan is 1538245022 and his current mailing address is 414 W Highway 70 B, De Queen, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538245022.
Healthcare Provider's Profile
| Full Name | Steve Haden Sullivan |
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| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 208 Main St., Horatio, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538245022
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Steve Haden Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538245022 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | PD06508 (Arkansas) | Primary |
| 183500000X | Pharmacist | 9163 (Oklahoma) | Secondary |
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. Steve Haden 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 |
|---|
Steve Haden Sullivan, PD
414 W Highway 70 B,
De Queen, AR 71832-2928
Ph: (870) 584-4676 | Steve Haden Sullivan, PD
208 Main St.,
Horatio, AR 71842
Ph: (870) 832-2561 |
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