Provider Demographics
NPI:1407080401
Name:WILLIAM, SEAN JAMES (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:JAMES
Last Name:WILLIAM
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:784 MAIN RD
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02790-4341
Mailing Address - Country:US
Mailing Address - Phone:508-636-5957
Mailing Address - Fax:505-636-6697
Practice Address - Street 1:784 MAIN RD
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:MA
Practice Address - Zip Code:02790-4341
Practice Address - Country:US
Practice Address - Phone:508-636-5957
Practice Address - Fax:505-636-6697
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA27427183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist