Provider Demographics
NPI:1760772263
Name:DUFFY, PATRICK SEAN (RPH)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:SEAN
Last Name:DUFFY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:SEAN
Other - Middle Name:
Other - Last Name:DUFFY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:2750 S PRIEST DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-3339
Mailing Address - Country:US
Mailing Address - Phone:480-894-4293
Mailing Address - Fax:480-929-8225
Practice Address - Street 1:2750 S PRIEST DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-3339
Practice Address - Country:US
Practice Address - Phone:480-894-4293
Practice Address - Fax:480-929-8225
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11511183500000X
IA15433183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist