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
Phone: (863) 419-2366
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144930850 | NPPES |
Florida | Other | PS45386 | STATE OF FLORIDA PHARMACY LICENSE |
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