Provider Demographics
NPI:1871065425
Name:SEIP DRUG LLC
Entity type:Organization
Organization Name:SEIP DRUG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEIP
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:218-385-3360
Mailing Address - Street 1:PO BOX 278
Mailing Address - Street 2:
Mailing Address - City:CLARISSA
Mailing Address - State:MN
Mailing Address - Zip Code:56440-0278
Mailing Address - Country:US
Mailing Address - Phone:218-756-2242
Mailing Address - Fax:
Practice Address - Street 1:210 MAIN ST W
Practice Address - Street 2:
Practice Address - City:CLARISSA
Practice Address - State:MN
Practice Address - Zip Code:56440-4500
Practice Address - Country:US
Practice Address - Phone:218-756-2242
Practice Address - Fax:218-756-3384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy