Provider Demographics
NPI:1477244853
Name:SEALEY, ADRIANE DANIELLE (RPH)
Entity type:Individual
Prefix:DR
First Name:ADRIANE
Middle Name:DANIELLE
Last Name:SEALEY
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 1:2854 CLEARVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-4506
Mailing Address - Country:US
Mailing Address - Phone:314-825-0394
Mailing Address - Fax:
Practice Address - Street 1:1020 LOUGHBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63111-2621
Practice Address - Country:US
Practice Address - Phone:314-752-5272
Practice Address - Fax:314-752-5273
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021029663183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist