Organization
SEIP DRUG LLC
Active
Other names
Seip Drug #10
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN SEIP (CHIEF MANAGER)
(218) 640-2722
Entity
Organization
Contact information
Practice address
124 2ND AVE WEST, BERTHA, MN 56437
(218) 924-2124
(218) 924-2129
Mailing address
PO BOX 157, BERTHA, MN 56437-0157
(218) 849-2124
(218) 849-2129
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
263523
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871503722
—
MN
01
—
2125113
PK
—
Enumeration date
08/09/2006
Last updated
11/01/2016
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