Organization
SEIP DRUG LLC
Active
Other names
SEIP DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN SEIP RPH (CHIEF MANG)
(218) 640-2722
Entity
Organization
Contact information
Practice address
113 LAKE AVE N, BATTLE LAKE, MN 56515-0538
(218) 864-5261
(218) 864-8178
Mailing address
PO BOX 98, NEW YORK MILLS, MN 56567-0098
(218) 385-3360
(218) 385-4535
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
263035
MN
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2428351
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
723463000
—
MN
Enumeration date
06/13/2007
Last updated
03/09/2010
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