Provider Demographics
NPI:1366442725
Name:SEAL'S PHARMACY
Entity Type:Organization
Organization Name:SEAL'S PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:SEAL
Authorized Official - Suffix:
Authorized Official - Credentials:PH
Authorized Official - Phone:870-598-3373
Mailing Address - Street 1:138 S 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:PIGGOTT
Mailing Address - State:AR
Mailing Address - Zip Code:72454-2642
Mailing Address - Country:US
Mailing Address - Phone:870-598-3373
Mailing Address - Fax:870-598-3373
Practice Address - Street 1:138 S 2ND AVE
Practice Address - Street 2:
Practice Address - City:PIGGOTT
Practice Address - State:AR
Practice Address - Zip Code:72454-2642
Practice Address - Country:US
Practice Address - Phone:870-598-3373
Practice Address - Fax:870-598-3373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR-05541333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy