Provider Demographics
NPI:1760712020
Name:SEAY, JOHNNIE B (RPH)
Entity Type:Individual
Prefix:DR
First Name:JOHNNIE
Middle Name:B
Last Name:SEAY
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 1:1604 LAGUNA DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-0922
Mailing Address - Country:US
Mailing Address - Phone:850-385-0344
Mailing Address - Fax:850-385-0344
Practice Address - Street 1:1604 LAGUNA DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-0922
Practice Address - Country:US
Practice Address - Phone:850-385-0344
Practice Address - Fax:850-385-0344
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-10
Last Update Date:2010-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 152361835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist