Provider Demographics
NPI:1841910601
Name:SEAVEY, GUY THOMAS (RPH)
Entity type:Individual
Prefix:DR
First Name:GUY
Middle Name:THOMAS
Last Name:SEAVEY
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 1:5015 E CHEYENNE DR UNIT 36
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-4315
Mailing Address - Country:US
Mailing Address - Phone:623-734-4899
Mailing Address - Fax:
Practice Address - Street 1:2555 W APACHE TRL
Practice Address - Street 2:
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85120-5204
Practice Address - Country:US
Practice Address - Phone:480-380-3300
Practice Address - Fax:480-380-3062
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS025988183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist