Provider Demographics
NPI:1285797613
Name:BELOUIN, SEAN JEFFREY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:JEFFREY
Last Name:BELOUIN
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 1:11307 CHURCH BEND CT
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-4118
Mailing Address - Country:US
Mailing Address - Phone:301-528-2928
Mailing Address - Fax:301-528-2928
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-319-4763
Practice Address - Fax:301-295-5928
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8821183500000X
MD14847183500000X
VA0202012816183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist