Provider Demographics
NPI:1780885913
Name:MAI, SEAN T (DOCTOR OF PHARMACY)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:T
Last Name:MAI
Suffix:
Gender:M
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2447 PACIFIC AVE # 1
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-2901
Mailing Address - Country:US
Mailing Address - Phone:562-537-2771
Mailing Address - Fax:
Practice Address - Street 1:5545 E STEARNS ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-3125
Practice Address - Country:US
Practice Address - Phone:562-596-8690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55933183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist