Provider Demographics
NPI:1689967952
Name:SENIGLA, DAVID MARTIN
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:MARTIN
Last Name:SENIGLA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 NORMAN STATION BLVD
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-6396
Mailing Address - Country:US
Mailing Address - Phone:704-664-5245
Mailing Address - Fax:704-664-5320
Practice Address - Street 1:169 NORMAN STATION BLVD
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-6396
Practice Address - Country:US
Practice Address - Phone:704-664-5245
Practice Address - Fax:704-664-5320
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047569183500000X
NC19160183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist