Provider Demographics
NPI:1508905274
Name:LEONARD SEUFERT, CHRISTINA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:
Last Name:LEONARD SEUFERT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 GEORGIA RD
Mailing Address - Street 2:
Mailing Address - City:HUMBOLDT
Mailing Address - State:KS
Mailing Address - Zip Code:66748-1060
Mailing Address - Country:US
Mailing Address - Phone:620-228-9808
Mailing Address - Fax:
Practice Address - Street 1:204 S 9TH ST
Practice Address - Street 2:
Practice Address - City:HUMBOLDT
Practice Address - State:KS
Practice Address - Zip Code:66748-1908
Practice Address - Country:US
Practice Address - Phone:620-473-2520
Practice Address - Fax:620-473-2414
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS12143183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS12143OtherSTATE BOARD OF PHARMACY