Provider Demographics
NPI:1285949552
Name:SINN, CHARLES D (PHARMD)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:D
Last Name:SINN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:CHUCK
Other - Middle Name:D
Other - Last Name:SINN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1419 HEAVENS PEAK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-7297
Mailing Address - Country:US
Mailing Address - Phone:210-896-5200
Mailing Address - Fax:210-523-1713
Practice Address - Street 1:5601 BANDERA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-1986
Practice Address - Country:US
Practice Address - Phone:210-647-2709
Practice Address - Fax:210-523-1713
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44151183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist