Provider Demographics
NPI:1356410518
Name:SEIPEL, TAMALA (RPH)
Entity type:Individual
Prefix:
First Name:TAMALA
Middle Name:
Last Name:SEIPEL
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 1:2917 LAURA PL
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-8046
Mailing Address - Country:US
Mailing Address - Phone:740-549-1361
Mailing Address - Fax:
Practice Address - Street 1:6961 CINTAS BLVD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-8923
Practice Address - Country:US
Practice Address - Phone:800-334-1624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-220571835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric