Provider Demographics
NPI:1447915301
Name:PADDEN, SEAN (RPH)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:PADDEN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 SCENIC RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:VENETIA
Mailing Address - State:PA
Mailing Address - Zip Code:15367-2342
Mailing Address - Country:US
Mailing Address - Phone:412-335-2828
Mailing Address - Fax:
Practice Address - Street 1:800 MCKEESPORT RD
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:PA
Practice Address - Zip Code:15037-1917
Practice Address - Country:US
Practice Address - Phone:412-384-3939
Practice Address - Fax:412-384-5314
Is Sole Proprietor?:No
Enumeration Date:2021-11-05
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP042617L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist