Provider Demographics
NPI:1740381631
Name:SEAS, JULIE E (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:E
Last Name:SEAS
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 W HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:SD
Mailing Address - Zip Code:57212
Mailing Address - Country:US
Mailing Address - Phone:605-983-5538
Mailing Address - Fax:
Practice Address - Street 1:125 SO MAIN ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:SD
Practice Address - Zip Code:57212-0384
Practice Address - Country:US
Practice Address - Phone:605-983-5711
Practice Address - Fax:605-983-5711
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD3905183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist