Individual
SEAN DEFRATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
UNIVERSITY OF KENTUCKY & AFFILIATES, 800 ROSE ST., LEXINGTON, KY 40536-0001
(859) 257-1000
Mailing address
7308 SPRUCE ST, MANITO, IL 61546-8221
(309) 267-4240
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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