Provider Demographics
NPI:1144507286
Name:SEIFERT, GEOFFREY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:
Last Name:SEIFERT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:GEOFF
Other - Middle Name:
Other - Last Name:SEIFERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:12225 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-2843
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10390 FEDERAL BLVD
Practice Address - Street 2:
Practice Address - City:FEDERAL HEIGHTS
Practice Address - State:CO
Practice Address - Zip Code:80260-6101
Practice Address - Country:US
Practice Address - Phone:720-887-9145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17520183500000X
IA20509183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist