Provider Demographics
NPI:1760465009
Name:SEAY, MISTY DAWN (REGISTERED PHARMACY)
Entity Type:Individual
Prefix:MS
First Name:MISTY
Middle Name:DAWN
Last Name:SEAY
Suffix:
Gender:F
Credentials:REGISTERED PHARMACY
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:952 GEER HWY
Mailing Address - Street 2:
Mailing Address - City:TRAVELERS REST
Mailing Address - State:SC
Mailing Address - Zip Code:29690-1853
Mailing Address - Country:US
Mailing Address - Phone:864-834-7133
Mailing Address - Fax:
Practice Address - Street 1:28 S MAIN ST
Practice Address - Street 2:MCLESKEY TODD PHARMACY OF TRAVELERS REST INC
Practice Address - City:TRAVELERS REST
Practice Address - State:SC
Practice Address - Zip Code:29690-1810
Practice Address - Country:US
Practice Address - Phone:864-834-4678
Practice Address - Fax:834-834-4614
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC17095183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician