Provider Demographics
NPI:1487797346
Name:ALBANY APOTHECARY, INC
Entity type:Organization
Organization Name:ALBANY APOTHECARY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SEILER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-845-4220
Mailing Address - Street 1:509 RAILROAD AVE
Mailing Address - Street 2:PO BOX 671
Mailing Address - City:ALBANY
Mailing Address - State:MN
Mailing Address - Zip Code:56307-9804
Mailing Address - Country:US
Mailing Address - Phone:320-845-4220
Mailing Address - Fax:320-845-7670
Practice Address - Street 1:509 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:MN
Practice Address - Zip Code:56307-9804
Practice Address - Country:US
Practice Address - Phone:320-845-4220
Practice Address - Fax:320-845-7670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN261530-93336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN3897840001Medicare ID - Type UnspecifiedMEDICARE NUMBER