MEDICARE: SEAN DILLON RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP044246L	PA

General Provider Information

NPI Number	:	1093007940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN DILLON RPH

Provider Business Mailing Address
First Line	:	8 COLONIAL RD
Second Line	:
City	:	DALLAS
State	:	PA
Zip	:	18612-1703
Country	:	US
Telephone Number	:	570-472-2901
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 N MAIN AVE
Second Line	:
City	:	SCRANTON
State	:	PA
Zip	:	18504-1866
Country	:	US
Telephone Number	:	570-342-6411
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2011
Last Update Date	:	05/28/2011

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Directions to “ SEAN DILLON RPH” Practice Location

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