Provider Demographics
NPI:1265037667
Name:SESAY, SULAIMAN (PHAMD)
Entity Type:Individual
Prefix:
First Name:SULAIMAN
Middle Name:
Last Name:SESAY
Suffix:
Gender:M
Credentials:PHAMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BRIDGEPORT CT APT 304
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5367
Mailing Address - Country:US
Mailing Address - Phone:240-603-7177
Mailing Address - Fax:
Practice Address - Street 1:165 S RICHLAND AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-3558
Practice Address - Country:US
Practice Address - Phone:717-843-4730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP454273183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist