Provider Demographics
NPI:1356669915
Name:SEIB PHARMACY
Entity Type:Organization
Organization Name:SEIB PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DEAN OF PHS
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:BRAXTON
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:334-844-4099
Mailing Address - Street 1:101 SOUTH UNION STREET
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36104
Mailing Address - Country:US
Mailing Address - Phone:334-844-8245
Mailing Address - Fax:334-844-8255
Practice Address - Street 1:101 SOUTH UNION STREET
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36104
Practice Address - Country:US
Practice Address - Phone:334-263-8460
Practice Address - Fax:334-263-8660
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUBURN UNIVERSITY PHARMACY HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-06
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL113386333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy