Provider Demographics
NPI:1861735151
Name:SEAY, DARRYL ROBBY
Entity type:Individual
Prefix:
First Name:DARRYL
Middle Name:ROBBY
Last Name:SEAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5302 COTTAGE LN
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-5049
Mailing Address - Country:US
Mailing Address - Phone:205-612-5175
Mailing Address - Fax:
Practice Address - Street 1:5302 COTTAGE LN
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-5049
Practice Address - Country:US
Practice Address - Phone:205-612-5175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11877183500000X
TX40271183500000X
MO2011017114183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist