Provider Demographics
NPI:1093184400
Name:SINCLAIR, PAUL ARTHUR (RPH)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:ARTHUR
Last Name:SINCLAIR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILBANK
Mailing Address - State:SD
Mailing Address - Zip Code:57252-1806
Mailing Address - Country:US
Mailing Address - Phone:605-432-9224
Mailing Address - Fax:605-432-6258
Practice Address - Street 1:109 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MILBANK
Practice Address - State:SD
Practice Address - Zip Code:57252-1806
Practice Address - Country:US
Practice Address - Phone:605-432-9224
Practice Address - Fax:605-432-6258
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD4053183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist