Organization
SEIFERT HEALTHCARE LLC
Active
Organization
SEIFERT HEALTHCARE LLC
Active
Other names
Seifert Drug # 2
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY CLEMENTS PHARMD (OWNER/PRESIDENT)
(574) 295-4333
Entity
Organization
Contact information
Practice address
100 NORTH ELKHART, WAKARUSA, IN 46573-9305
(574) 862-1454
(574) 862-4923
Mailing address
PO BOX 425, WAKARUSA, IN 46573-0425
(574) 862-1454
(574) 862-4923
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006218A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1562900
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/09/2010
Last updated
02/24/2025
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