MEDICARE: DR. SEAN THOMAS GATZ PHARMD

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	68564	TX

General Provider Information

NPI Number	:	1790455970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEAN THOMAS GATZ PHARMD

Provider Business Mailing Address
First Line	:	6906 DAVIDSON ST APT 12
Second Line	:
City	:	THE COLONY
State	:	TX
Zip	:	75056-5237
Country	:	US
Telephone Number	:	940-999-0818
Fax Number	:

Provider Business Practice Location Address
First Line	:	6101 WINDHAVEN PKWY STE 125
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8290
Country	:	US
Telephone Number	:	972-677-7891
Fax Number	:	972-677-7536

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

Provider Enumeration Date	:	09/17/2021
Last Update Date	:	03/24/2025

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Directions to “ DR. SEAN THOMAS GATZ PHARMD” Practice Location

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