Ustic, Sean Tyrone

Ustic, Sean Tyrone is an individual health care provider with primary practice located at 40100 Highway 27 , Davenport FL 33837-5906. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Ustic, Sean Tyrone can be contacted via phone (863) 419-2366.

Contact Information

Primary practice address
40100 Highway 27 Davenport FL 33837-5906
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PS45386 Florida

Profile Details

NPI number 1144930850
LBN Legal business name Ustic, Sean Tyrone
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2022
Last updated Dec 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144930850 NPPES
Florida Other PS45386 STATE OF FLORIDA PHARMACY LICENSE

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