Healthcare Provider Details

I. General information

NPI: 1457347536
Provider Name (Legal Business Name): JOHN WARREN SEYMOUR R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 W MAIN ST
ORANGE VA
22960-1534
US

IV. Provider business mailing address

91 DORIS DR
RUCKERSVILLE VA
22968-3684
US

V. Phone/Fax

Practice location:
  • Phone: 540-661-5006
  • Fax:
Mailing address:
  • Phone: 540-661-7044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202006917
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: