Provider Demographics
NPI:1689744013
Name:MCCARTHY, SEAN F
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:F
Last Name:MCCARTHY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 WENDOVER RD
Mailing Address - Street 2:
Mailing Address - City:STANFORDVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12581-6072
Mailing Address - Country:US
Mailing Address - Phone:845-266-3491
Mailing Address - Fax:
Practice Address - Street 1:MCCARTHY'S PHARMACY
Practice Address - Street 2:6040 ROUTE 82
Practice Address - City:STANFORDVILLE
Practice Address - State:NY
Practice Address - Zip Code:12581
Practice Address - Country:US
Practice Address - Phone:845-868-1010
Practice Address - Fax:845-868-1006
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035495183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist