Provider Demographics
NPI:1619596160
Name:SEELIG, ANNA K (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:K
Last Name:SEELIG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 CLIFTON HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-4127
Mailing Address - Country:US
Mailing Address - Phone:502-294-1740
Mailing Address - Fax:
Practice Address - Street 1:7100 ARROYO CROSSING PKWY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-4057
Practice Address - Country:US
Practice Address - Phone:702-260-6264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-14
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY020881183500000X
NV20331183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist