Doris Ella Seasholtz
Individual provider Active NPI Pharmacist · Northumberland, PA
NPI 1710117643 · NPPES record last updated Jul 27, 2009
Key facts
- NPI
- 1710117643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP038166L (PA)
- Practice address
- Route 11
Synergy Grandview Pharmacy Inc
Northumberland, PA 17857 - Phone
- (570) 473-7506
- Fax
- (570) 473-9336
- NPI assigned
- Jul 27, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP038166L | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP038166L | PA | Yes |
Addresses
Primary practice location
Route 11
Synergy Grandview Pharmacy Inc
Northumberland, PA 17857
Mailing address
99 George LN
Selinsgrove, PA 17870-8110
Phone (570) 884-9600
Other names
- Miss Doris Ella Clark
Other providers in Northumberland, PA
- R Bruce Thatcher DMD
- R M Crane DDS PC
- Rachel Reichley
- Hannah Roberts
- Robert E Schaffer-Neitz
- Shea Alana Sechman
- Tiara D. Shipe
- Benjamin Edward Shoch
- April C Showver
- Tiffanie Mae Snyder
All providers in Northumberland, PA · Pharmacist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.