Provider Demographics
NPI:1033815360
Name:SEIGLER, KRYSTAL GARROVILLO (PHARMD)
Entity Type:Individual
Prefix:
First Name:KRYSTAL
Middle Name:GARROVILLO
Last Name:SEIGLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KRYSTAL
Other - Middle Name:
Other - Last Name:GARROVILLO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:326 SANTA FE DR STE 150
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5157
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:326 SANTA FE DR
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5156
Practice Address - Country:US
Practice Address - Phone:858-554-8788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-07
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA81197183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist