Provider Demographics
NPI:1467625459
Name:SEIFERT, JAMES PETER (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PETER
Last Name:SEIFERT
Suffix:
Gender:M
Credentials:RPH
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 316
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MT
Mailing Address - Zip Code:59935-0316
Mailing Address - Country:US
Mailing Address - Phone:406-295-4724
Mailing Address - Fax:
Practice Address - Street 1:2357 BULL LAKE HIWAY
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MT
Practice Address - Zip Code:59935-0316
Practice Address - Country:US
Practice Address - Phone:406-295-4724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2718183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist