Provider Demographics
NPI:1740881234
Name:SEEVERS, JAMES T (RPH)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:T
Last Name:SEEVERS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3721 NAVARRE AVE
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-3433
Mailing Address - Country:US
Mailing Address - Phone:419-698-5156
Mailing Address - Fax:419-698-5320
Practice Address - Street 1:3721 NAVARRE AVE
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3433
Practice Address - Country:US
Practice Address - Phone:419-698-5156
Practice Address - Fax:419-698-5320
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03226494183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist