Provider Demographics
NPI:1174808711
Name:SEIFTER, NIKOLAS J (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NIKOLAS
Middle Name:J
Last Name:SEIFTER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 E KINCAID ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98274-4126
Mailing Address - Country:US
Mailing Address - Phone:360-814-5011
Mailing Address - Fax:360-428-8218
Practice Address - Street 1:1415 E KINCAID
Practice Address - Street 2:
Practice Address - City:MT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-1376
Practice Address - Country:US
Practice Address - Phone:360-814-5011
Practice Address - Fax:360-428-8218
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 60086616183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist