Provider Demographics
NPI:1457473860
Name:SEID, GILBERT VINCENT (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:GILBERT
Middle Name:VINCENT
Last Name:SEID
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 883
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97339-0883
Mailing Address - Country:US
Mailing Address - Phone:541-760-0645
Mailing Address - Fax:
Practice Address - Street 1:2272 SANTIAM HWY SE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97322-5205
Practice Address - Country:US
Practice Address - Phone:541-926-4491
Practice Address - Fax:541-926-8635
Is Sole Proprietor?:No
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5504183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist