Provider Demographics
NPI:1194017350
Name:SELIGMAN, RICHARD JOHN (BS)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:JOHN
Last Name:SELIGMAN
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 ARCADIA BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01118-1017
Mailing Address - Country:US
Mailing Address - Phone:413-455-2661
Mailing Address - Fax:
Practice Address - Street 1:126 ISLAND POND RD
Practice Address - Street 2:RITE AIDE PHARMACY
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01118-1029
Practice Address - Country:US
Practice Address - Phone:413-737-6294
Practice Address - Fax:413-732-0554
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18055183500000X
NC21484183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist