Individual
DR. SALLY REBECCA SEELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BC-ADM
Contact information
Practice address
221 MICHIGAN ST NE STE 200, GRAND RAPIDS, MI 49503-2533
(616) 267-8950
Mailing address
7620 THORNAPPLE RIVER DR SE, CALEDONIA, MI 49316-9522
(616) 710-2388
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5302411718
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530-521-1718
STATE LICENSE NUMBER
MI
Enumeration date
01/12/2022
Last updated
10/26/2023
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