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NPI Code Detail

MEDICARE: SHANEIKA DAWN SEIBOLD PHARM D

MEDICARE:   SHANEIKA DAWN SEIBOLD  PHARM D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist18221CO

General Provider Information

NPI Number : 1154983591
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANEIKA DAWN SEIBOLD PHARM D
Provider Business Mailing Address
First Line : 7805 E 35TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80238-2458
Country : US
Telephone Number : 720-941-7146
Fax Number :
Provider Business Practice Location Address
First Line : 7805 E 35TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80238-2458
Country : US
Telephone Number : 720-941-7146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2019
Last Update Date : 07/06/2019

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Directions to “ SHANEIKA DAWN SEIBOLD PHARM D” Practice Location

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