Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Sullivan

Individual provider Pharmacist · NPI 1104631399

Jack Sullivan is a Pharmacist in Woodsville, New Hampshire. Practices as a sole proprietor. Licensed in New Hampshire.

Licensed in
NH
In the registry since
2025

Practice location Address checks out

4901 Dartmouth College Hwy
Woodsville, NH 03785-1412
Phone: (603) 747-3355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PHCY-05103 (NH)

Record details

NPI number1104631399
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 12, 2025
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025
Mailing address102 Highland Ave, Saint Johnsbury, VT 05819-2577

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