Provider Demographics
NPI:1598797680
Name:SEEHUSEN, LEAH K (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:K
Last Name:SEEHUSEN
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5425 S PADRE ISLAND DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-5301
Mailing Address - Country:US
Mailing Address - Phone:361-980-8979
Mailing Address - Fax:361-980-8979
Practice Address - Street 1:5425 S PADRE ISLAND DR
Practice Address - Street 2:SUITE D
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-5301
Practice Address - Country:US
Practice Address - Phone:361-980-8979
Practice Address - Fax:361-980-8979
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN115654-2183500000X
TX45734183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist