Provider Demographics
NPI:1487184289
Name:SEAY, AMBER BRYANT (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:BRYANT
Last Name:SEAY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:MS
Other - First Name:AMBER
Other - Middle Name:ROSE
Other - Last Name:BRYANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:17815 ENOCH RD
Mailing Address - Street 2:
Mailing Address - City:ANDALUSIA
Mailing Address - State:AL
Mailing Address - Zip Code:36421-5992
Mailing Address - Country:US
Mailing Address - Phone:334-791-1580
Mailing Address - Fax:
Practice Address - Street 1:1991 MLK EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:ANDALUSIA
Practice Address - State:AL
Practice Address - Zip Code:36420
Practice Address - Country:US
Practice Address - Phone:334-222-8563
Practice Address - Fax:334-222-1236
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16134183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist