Provider Demographics
NPI:1184905598
Name:LEVINS, SEAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:
Last Name:LEVINS
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 1:2897 VETERANS MEMORIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-3299
Mailing Address - Country:US
Mailing Address - Phone:636-723-4233
Mailing Address - Fax:636-949-7962
Practice Address - Street 1:2897 VETERANS MEMORIAL PKWY
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303
Practice Address - Country:US
Practice Address - Phone:636-723-4233
Practice Address - Fax:636-949-7962
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010026504183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist