# SEVENTH ST PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SEVENTH ST PHARMACY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104905876
- **Authorized official:** BARBARA SMITH RPH (PRESIDENT)
- **Authorized official phone:** (620) 244-3333

## Contact information

- **Practice address:** 511 N MAIN ST STE B, ERIE, KS 66733-1017
- **Practice address phone:** (620) 244-3333
- **Practice address fax:** (620) 244-3334
- **Mailing address:** PO BOX 9830, SALT LAKE CITY, UT 84109-9830
- **Mailing address phone:** (620) 244-3333
- **Mailing address fax:** (620) 244-3334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 2-10250 | KS | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 05/27/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100445110A | — | KS |
| 01 | — | 2030731 | PK | — |