Organization
SEIP DRUG LLC
Active
Other names
SEIP DRUG #14
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN L SEIP RPH (CHIEF MANAGER)
(218) 385-3360
Entity
Organization
Contact information
Practice address
210 MAIN ST W, CLARISSA, MN 56440-4500
(218) 756-2242
(218) 756-3384
Mailing address
PO BOX 278, CLARISSA, MN 56440-0278
(218) 756-2242
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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