Sean McDade, PHARMD

Individual provider Active NPI Pharmacist · Brookhaven, PA

NPI 1780119933 · NPPES record last updated Apr 25, 2017

Key facts

NPI
1780119933
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP451303 (PA)
Practice address
4098 Edgmont Ave
Brookhaven, PA 19015-2211
Phone
(484) 467-3019
NPI assigned
Apr 25, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP451303PAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP451303 PA Yes

Addresses

Primary practice location

4098 Edgmont Ave
Brookhaven, PA 19015-2211

Mailing address

249 Bishop Dr
Aston, PA 19014-1324
Phone (484) 467-3019

Other providers in Brookhaven, PA

All providers in Brookhaven, PA · Pharmacist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.