Provider Demographics
NPI:1417145046
Name:SECCIA, JANICE (PHARMD BCPS)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:
Last Name:SECCIA
Suffix:
Gender:F
Credentials:PHARMD BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:748 S. MAIN ST
Mailing Address - Street 2:MCLAREN NORTHERN MI - CHEBOYGAN CAMPUS
Mailing Address - City:CHEBOYGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49721
Mailing Address - Country:US
Mailing Address - Phone:231-627-1251
Mailing Address - Fax:
Practice Address - Street 1:748 S. MAIN ST
Practice Address - Street 2:MCLAREN NORTHERN MI - CHEBOYGAN CAMPUS
Practice Address - City:CHEBOYGAN
Practice Address - State:MI
Practice Address - Zip Code:49721
Practice Address - Country:US
Practice Address - Phone:231-627-1251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020284451835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy