Individual
COLLEEN L SEBASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
2005 N DOBSON RD, CHANDLER, AZ 85224-2294
(480) 812-0063
Mailing address
2005 N DOBSON RD, CHANDLER, AZ 85224-2294
(480) 812-0063
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14653-040
WI
183500000X
Pharmacist
Primary
RP440045
PA
183500000X
Pharmacist
RPH5367
ND
183500000X
Pharmacist
S019748
AZ
Other
Enumeration date
01/19/2013
Last updated
10/19/2020
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