Healthcare Provider Details

I. General information

NPI: 1134989312
Provider Name (Legal Business Name): SEQUON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2024
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 E DUBLIN GRANVILLE RD STE 153
WORTHINGTON OH
43085-3192
US

IV. Provider business mailing address

40 WIGHT AVE STE 100
COCKEYSVILLE MD
21030-2148
US

V. Phone/Fax

Practice location:
  • Phone: 380-500-1169
  • Fax:
Mailing address:
  • Phone: 667-408-7767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RANDY HYUN
Title or Position: CEO
Credential:
Phone: 667-408-7767