MEDICARE: DR. MARY FRANCES SEIDEMAN PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	10164	AZ
2	1835G0303X	Geriatric Pharmacist	10164	AZ
3	1835N1003X	Nutrition Support Pharmacist	10164	AZ
4	1835P1200X	Pharmacotherapy Pharmacist	10164	AS

General Provider Information

NPI Number	:	1215025606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY FRANCES SEIDEMAN PHARM.D.

Provider Business Mailing Address
First Line	:	1950 E SALTSAGE DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-9457
Country	:	US
Telephone Number	:	480-460-3113
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 E SALTSAGE DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-9457
Country	:	US
Telephone Number	:	480-460-3113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	09/11/2025

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