Provider Demographics
NPI:1093325565
Name:SEAGLE, SETH JAMES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:JAMES
Last Name:SEAGLE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 LAWNDALE DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-4820
Mailing Address - Country:US
Mailing Address - Phone:336-286-1273
Mailing Address - Fax:
Practice Address - Street 1:2701 LAWNDALE DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-4820
Practice Address - Country:US
Practice Address - Phone:336-286-1273
Practice Address - Fax:336-252-5752
Is Sole Proprietor?:No
Enumeration Date:2020-08-08
Last Update Date:2020-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29433183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist