Provider Demographics
NPI:1467697946
Name:DOBBINS, SEAN CHRISTIAN (RPH)
Entity Type:Individual
Prefix:MR
First Name:SEAN
Middle Name:CHRISTIAN
Last Name:DOBBINS
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 1:52 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:LYONS
Mailing Address - State:NY
Mailing Address - Zip Code:14489-1545
Mailing Address - Country:US
Mailing Address - Phone:315-946-6691
Mailing Address - Fax:315-946-4091
Practice Address - Street 1:52 WILLIAM ST
Practice Address - Street 2:
Practice Address - City:LYONS
Practice Address - State:NY
Practice Address - Zip Code:14489-1545
Practice Address - Country:US
Practice Address - Phone:315-946-6691
Practice Address - Fax:315-946-4091
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038902-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist