Provider Demographics
NPI:1740281716
Name:SEILER, MISHELLE R (PHARMD, BCPP)
Entity type:Individual
Prefix:
First Name:MISHELLE
Middle Name:R
Last Name:SEILER
Suffix:
Gender:F
Credentials:PHARMD, BCPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8720 COUNTRY GLEN XING
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3780
Mailing Address - Country:US
Mailing Address - Phone:972-377-6965
Mailing Address - Fax:
Practice Address - Street 1:8720 COUNTRY GLEN XING
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3780
Practice Address - Country:US
Practice Address - Phone:972-377-6965
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX394531835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric