Provider Demographics
NPI:1871877761
Name:SEAMAN, DAVID L (RPH)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:L
Last Name:SEAMAN
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 1:225 W BUCKEYE ST
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:OH
Mailing Address - Zip Code:43410-1935
Mailing Address - Country:US
Mailing Address - Phone:419-547-8059
Mailing Address - Fax:
Practice Address - Street 1:225 W BUCKEYE ST
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:OH
Practice Address - Zip Code:43410-1935
Practice Address - Country:US
Practice Address - Phone:419-547-8059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03311753183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist