Provider Demographics
NPI:1962413526
Name:SEIFRIED DRUGS INC
Entity type:Organization
Organization Name:SEIFRIED DRUGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIFRIED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-682-2906
Mailing Address - Street 1:100 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:ORRVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44667-1847
Mailing Address - Country:US
Mailing Address - Phone:330-682-2906
Mailing Address - Fax:330-682-3784
Practice Address - Street 1:100 W MARKET ST
Practice Address - Street 2:
Practice Address - City:ORRVILLE
Practice Address - State:OH
Practice Address - Zip Code:44667-1847
Practice Address - Country:US
Practice Address - Phone:330-682-2906
Practice Address - Fax:330-682-3784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
OH0200843003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH7939664Medicaid
3609798OtherNCPDP PROVIDER IDENTIFICATION NUMBER