Organization
SEASIDE MARINE INTRNTL DRUG CO INC
Active
Other names
SEASIDE MARINE INT'L DRUG CO INC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SEIBERT BS PHARMACY (PRES)
(310) 832-4363
Entity
Organization
Contact information
Practice address
595 W 7TH ST STE 207, SAN PEDRO, CA 90731-3152
(310) 832-4363
(310) 548-5527
Mailing address
595 W 7TH ST STE 207, SAN PEDRO, CA 90731-3152
(310) 832-4363
(310) 548-5527
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY45801
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001252
PK
—
05
—
PHA439760
—
CA
Enumeration date
08/10/2006
Last updated
04/19/2017
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