Healthcare Provider Details

I. General information

NPI: 1326353160
Provider Name (Legal Business Name): SEIP DRUG LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2010
Last Update Date: 09/19/2025
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 MN HIGHWAY 78 N STE 100
OTTERTAIL MN
56571-7035
US

IV. Provider business mailing address

316 MN HIGHWAY 78 N STE 100
OTTERTAIL MN
56571-7035
US

V. Phone/Fax

Practice location:
  • Phone: 218-367-2196
  • Fax: 218-367-2197
Mailing address:
  • Phone: 218-367-2196
  • Fax: 218-367-2197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number263575
License Number StateMN

VIII. Authorized Official

Name: NATHAN SEIP
Title or Position: CHIEF MANAGER
Credential:
Phone: 218-640-2722