Provider Demographics
NPI:1710307525
Name:SMELTZER, SEAN ANDREW (PHARMD)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:ANDREW
Last Name:SMELTZER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5002 BELLAIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4002
Mailing Address - Country:US
Mailing Address - Phone:613-663-6636
Mailing Address - Fax:713-663-6586
Practice Address - Street 1:5002 BELLAIRE BLVD
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4002
Practice Address - Country:US
Practice Address - Phone:613-663-6636
Practice Address - Fax:713-663-6586
Is Sole Proprietor?:No
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52980183500000X
AL16730183500000X
TN36044183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist