Provider Demographics
NPI:1003839473
Name:SEIG DRUG INC
Entity Type:Organization
Organization Name:SEIG DRUG INC
Other - Org Name:SEIG PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:COURTNEY
Authorized Official - Last Name:SEIGFREID
Authorized Official - Suffix:
Authorized Official - Credentials:RP
Authorized Official - Phone:402-829-3282
Mailing Address - Street 1:6655 SORENSEN PARKWAY
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68152-2139
Mailing Address - Country:US
Mailing Address - Phone:402-829-3282
Mailing Address - Fax:402-829-3285
Practice Address - Street 1:6655 SORENSEN PARKWAY
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68152-2139
Practice Address - Country:US
Practice Address - Phone:402-829-3282
Practice Address - Fax:402-829-3285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2565333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========01Medicaid
NE=========01Medicaid