Healthcare Provider Details

I. General information

NPI: 1871842153
Provider Name (Legal Business Name): LARECIA MARIE SEIBERT PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2012
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

652 W CENTRAL AVE STE 70
DELAWARE OH
43015-1440
US

IV. Provider business mailing address

652 W CENTRAL AVE STE 70
DELAWARE OH
43015-1440
US

V. Phone/Fax

Practice location:
  • Phone: 740-417-4600
  • Fax:
Mailing address:
  • Phone: 740-417-4600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03136363
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2012029753
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: