Healthcare Provider Details

I. General information

NPI: 1962740977
Provider Name (Legal Business Name): SEAN ARTHUR VALDEZ PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2013
Last Update Date: 01/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

937 FRANKLIN BLVD NAVAL HOSPITAL LEMOORE
LEMOORE CA
93246-4700
US

IV. Provider business mailing address

3202 BOWLING LN UNIT A
LEMOORE CA
93245-2246
US

V. Phone/Fax

Practice location:
  • Phone: 559-998-2825
  • Fax:
Mailing address:
  • Phone: 360-632-4630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23074
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: