Provider Demographics
NPI:1740462050
Name:SEYB, LYNNE (RPH)
Entity type:Individual
Prefix:
First Name:LYNNE
Middle Name:
Last Name:SEYB
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 1:1211 W MYRTLE ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-6995
Mailing Address - Country:US
Mailing Address - Phone:208-333-7895
Mailing Address - Fax:208-333-7876
Practice Address - Street 1:1211 W MYRTLE ST
Practice Address - Street 2:SUITE 210
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-6995
Practice Address - Country:US
Practice Address - Phone:208-333-7895
Practice Address - Fax:208-333-7876
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-28
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP5731183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist