Provider Demographics
NPI:1770179806
Name:SAMITT, SEAN E (CPHT, MTM-C)
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:E
Last Name:SAMITT
Suffix:
Gender:M
Credentials:CPHT, MTM-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 REFLECTION CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-3309
Mailing Address - Country:US
Mailing Address - Phone:480-269-1677
Mailing Address - Fax:
Practice Address - Street 1:807 REFLECTION CT
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-3309
Practice Address - Country:US
Practice Address - Phone:480-269-1677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-13
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
570107010219150183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician