Provider Demographics
NPI:1881675924
Name:SEELEYS PHARMACY, INC
Entity Type:Organization
Organization Name:SEELEYS PHARMACY, INC
Other - Org Name:DECHRISTOPHERS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:JUDE
Authorized Official - Last Name:SEELEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-737-0227
Mailing Address - Street 1:745 SOUTH ST
Mailing Address - Street 2:PO BOX 191
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-3316
Mailing Address - Country:US
Mailing Address - Phone:914-737-0227
Mailing Address - Fax:914-737-4173
Practice Address - Street 1:745 SOUTH ST
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-3316
Practice Address - Country:US
Practice Address - Phone:914-737-0227
Practice Address - Fax:914-737-4173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020749183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1131400001Medicare ID - Type Unspecified