Provider Demographics
NPI:1194498410
Name:CURLEY, SEAN PATRICK (PHARMD)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:PATRICK
Last Name:CURLEY
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 1:664 W EVERGREEN AVE
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-6535
Mailing Address - Country:US
Mailing Address - Phone:907-761-1460
Mailing Address - Fax:
Practice Address - Street 1:664 W EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-6535
Practice Address - Country:US
Practice Address - Phone:907-761-1460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-01
Last Update Date:2021-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK178987183500000X
SD6872183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist