Provider Demographics
NPI:1508481185
Name:SINNOTT, COLIN M (RPH)
Entity Type:Individual
Prefix:
First Name:COLIN
Middle Name:M
Last Name:SINNOTT
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 1:280 DEVON DR
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-5620
Mailing Address - Country:US
Mailing Address - Phone:563-590-6102
Mailing Address - Fax:
Practice Address - Street 1:7425 CHAVENELLE RD
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-9568
Practice Address - Country:US
Practice Address - Phone:563-588-8709
Practice Address - Fax:563-588-8709
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-10
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA22359183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist