1700884483 NPI number — DR. CHARLES FRANCIS SEIFERT PHARM.D.

Table of content: DR. CHARLES FRANCIS SEIFERT PHARM.D. (NPI 1700884483)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700884483 NPI number — DR. CHARLES FRANCIS SEIFERT PHARM.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SEIFERT
Provider First Name:
CHARLES
Provider Middle Name:
FRANCIS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARM.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700884483
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9308 SALISBURY AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LUBBOCK
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79424-5024
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
806-783-9306
Provider Business Mailing Address Fax Number:
806-743-4209

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
TTUHSC SCHOOL OF PHARMACY
Provider Second Line Business Practice Location Address:
3601 4TH ST; MS 8162
Provider Business Practice Location Address City Name:
LUBBOCK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79430-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-743-4200
Provider Business Practice Location Address Fax Number:
806-743-4209
Provider Enumeration Date:
07/07/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1835P1200X , with the licence number:  26472 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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