Organization
SEITZ PHARMACY LLC
Active
Other names
SEITZ DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYNAN GIBSON PHARM.D (OWNER)
(785) 827-4455
Entity
Organization
Contact information
Practice address
206 N DOUGLAS AVE, ELLSWORTH, KS 67439-3216
(785) 472-3212
(785) 472-5464
Mailing address
206 N DOUGLAS AVE, ELLSWORTH, KS 67439-3216
(785) 472-3212
(785) 472-5464
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-102146
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201152290A
—
KS
01
—
2168702
PK
—
Enumeration date
08/18/2006
Last updated
04/27/2023
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