Provider Demographics
NPI:1659399442
Name:DEPASQUALE, SETH HERBERT (RPH)
Entity Type:Individual
Prefix:MR
First Name:SETH
Middle Name:HERBERT
Last Name:DEPASQUALE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4708 MIAMI CIR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-6469
Mailing Address - Country:US
Mailing Address - Phone:859-519-8452
Mailing Address - Fax:
Practice Address - Street 1:4708 MIAMI CIR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-6469
Practice Address - Country:US
Practice Address - Phone:859-519-8452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY48661183500000X
TX43074183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist