Organization
SEIP DRUG LLC
Active
Other names
SEIP PRESCRIPTION SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN SEIP (CHIEF MNGR)
(218) 640-2722
Entity
Organization
Contact information
Practice address
310 FRAZEE ST E, DETROIT LAKES, MN 56501-3604
(218) 847-3146
(218) 847-7636
Mailing address
310 FRAZEE ST E, DETROIT LAKES, MN 56501-3604
(218) 847-3146
(218) 847-7636
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262974
MN
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2422400
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
870019200
—
MN
Enumeration date
03/01/2007
Last updated
11/16/2010
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