Provider Demographics
NPI:1194448043
Name:SEASE, STEPHEN (PHARM D)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:SEASE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:MR
Other - First Name:STEPHEN
Other - Middle Name:MICHAEL
Other - Last Name:SEASE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARM D
Mailing Address - Street 1:600 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TEAGUE
Mailing Address - State:TX
Mailing Address - Zip Code:75860-1647
Mailing Address - Country:US
Mailing Address - Phone:254-739-2585
Mailing Address - Fax:254-739-2098
Practice Address - Street 1:600 MAIN ST
Practice Address - Street 2:
Practice Address - City:TEAGUE
Practice Address - State:TX
Practice Address - Zip Code:75860-1647
Practice Address - Country:US
Practice Address - Phone:254-739-2585
Practice Address - Fax:254-739-2098
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58583183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist