Healthcare Provider Details

I. General information

NPI: 1881675924
Provider Name (Legal Business Name): SEELEYS PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 SOUTH ST
PEEKSKILL NY
10566-3316
US

IV. Provider business mailing address

745 SOUTH ST PO BOX 191
PEEKSKILL NY
10566-3316
US

V. Phone/Fax

Practice location:
  • Phone: 914-737-0227
  • Fax: 914-737-4173
Mailing address:
  • Phone: 914-737-0227
  • Fax: 914-737-4173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number020749
License Number StateNY

VIII. Authorized Official

Name: MR. HARVEY JUDE SEELEY
Title or Position: PHARMACIST
Credential:
Phone: 914-737-0227