Provider Demographics
NPI:1770822181
Name:SEELINGER, CLAIRE (RPH)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:SEELINGER
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 1:4201 ROMA AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-1133
Mailing Address - Country:US
Mailing Address - Phone:505-727-4532
Mailing Address - Fax:505-727-2911
Practice Address - Street 1:500 WALTER ST NE STE 202B
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-2543
Practice Address - Country:US
Practice Address - Phone:505-727-4532
Practice Address - Fax:505-727-2911
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM6057183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist