Healthcare Provider Details

I. General information

NPI: 1154331981
Provider Name (Legal Business Name): BRUCE A SEMINGSON R.PH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7227 N 6TH WAY STE 160
PHOENIX AZ
85020-4969
US

IV. Provider business mailing address

4967 E JUANA CT
CAVE CREEK AZ
85331-6399
US

V. Phone/Fax

Practice location:
  • Phone: 602-678-1179
  • Fax: 602-687-0014
Mailing address:
  • Phone: 602-678-1179
  • Fax: 602-687-0014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4328
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: