Maurice E Sullivan
Maurice E Sullivan is a Durable Medical Equipment & Medical Supplies in Raymond, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
801 N Obannon StRaymond, IL 62560-5283
Phone: (217) 229-3022
Fax: (217) 229-3065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 054007502 (IL) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1477539732 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Maurice Sullivan — Owner · (217) 839-2909 |
| Other names | Sullivan Drug Of Raymond |
| NPI enumerated | December 19, 2005 |
| Last updated in NPPES | February 16, 2017 |
| Mailing address | Po Box 588, Raymond, IL 62560-0588 |