Provider Demographics
NPI:1780895490
Name:SIGLER, JEFFREY D (RPH,CDM)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:D
Last Name:SIGLER
Suffix:
Gender:M
Credentials:RPH,CDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3578
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-0578
Mailing Address - Country:US
Mailing Address - Phone:785-749-5259
Mailing Address - Fax:785-749-5260
Practice Address - Street 1:4525 W 6TH ST
Practice Address - Street 2:SUITE 104
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-4815
Practice Address - Country:US
Practice Address - Phone:785-842-1225
Practice Address - Fax:785-841-6297
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2-099971835P1200X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy