Provider Demographics
NPI:1447969415
Name:SEYBERT, GREG R (RPH)
Entity type:Individual
Prefix:
First Name:GREG
Middle Name:R
Last Name:SEYBERT
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 1:3 NORTHGATE PLZ UNIT 2
Mailing Address - Street 2:
Mailing Address - City:HARMONY
Mailing Address - State:PA
Mailing Address - Zip Code:16037-9257
Mailing Address - Country:US
Mailing Address - Phone:724-452-5334
Mailing Address - Fax:
Practice Address - Street 1:3 NORTHGATE PLZ UNIT 2
Practice Address - Street 2:
Practice Address - City:HARMONY
Practice Address - State:PA
Practice Address - Zip Code:16037-9257
Practice Address - Country:US
Practice Address - Phone:724-452-5334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP040421R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist