Organization
SEIP DRUG LLC
Active
Other names
SEIP DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN SEIP (CHIEF MNGR)
(218) 640-2722
Entity
Organization
Contact information
Practice address
519 DOUGLAS AVE, HENNING, MN 56551-4000
(218) 583-2773
(218) 583-2814
Mailing address
PO BOX 304, HENNING, MN 56551-0304
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262969
MN
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2047365
PK
—
05
—
213955E
—
ND
05
—
785725000
—
MN
Enumeration date
03/01/2007
Last updated
11/09/2015
Update your record
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