Healthcare Provider Details

I. General information

NPI: 1770822181
Provider Name (Legal Business Name): CLAIRE SEELINGER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2013
Last Update Date: 02/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 WALTER ST NE STE 202B
ALBUQUERQUE NM
87102-2543
US

IV. Provider business mailing address

4201 ROMA AVE NE
ALBUQUERQUE NM
87108-1133
US

V. Phone/Fax

Practice location:
  • Phone: 505-727-4532
  • Fax: 505-727-2911
Mailing address:
  • Phone: 505-727-4532
  • Fax: 505-727-2911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6057
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: