MEDICARE: MR. JOHN WARREN SEYMOUR R.PH.

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
1	183500000X	Pharmacist	0202006917	VA

General Provider Information

NPI Number	:	1457347536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN WARREN SEYMOUR R.PH.

Provider Business Mailing Address
First Line	:	91 DORIS DR
Second Line	:
City	:	RUCKERSVILLE
State	:	VA
Zip	:	22968-3684
Country	:	US
Telephone Number	:	540-661-7044
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 W MAIN ST
Second Line	:
City	:	ORANGE
State	:	VA
Zip	:	22960-1534
Country	:	US
Telephone Number	:	540-661-5006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	08/04/2025

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