Provider Demographics
NPI:1639293954
Name:SEILHAN, ALLISON T (RPH)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:T
Last Name:SEILHAN
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 1:108 ALLEGRO AVE
Mailing Address - Street 2:
Mailing Address - City:DUSON
Mailing Address - State:LA
Mailing Address - Zip Code:70529-3349
Mailing Address - Country:US
Mailing Address - Phone:337-873-4325
Mailing Address - Fax:
Practice Address - Street 1:924 REES ST
Practice Address - Street 2:
Practice Address - City:BREAUX BRIDGE
Practice Address - State:LA
Practice Address - Zip Code:70517-4514
Practice Address - Country:US
Practice Address - Phone:337-332-6339
Practice Address - Fax:337-332-5884
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16670183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist