Healthcare Provider Details

I. General information

NPI: 1457781734
Provider Name (Legal Business Name): CAITLIN SEAVER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2013
Last Update Date: 11/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 LAKE RD
HAMLIN NY
14464-9514
US

IV. Provider business mailing address

1800 LAKE RD
HAMLIN NY
14464-9514
US

V. Phone/Fax

Practice location:
  • Phone: 585-964-2933
  • Fax:
Mailing address:
  • Phone: 585-964-2933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberI056843-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: