Provider Demographics
NPI:1801980743
Name:WEST SEVENTH PHARMACY, INC.
Entity type:Organization
Organization Name:WEST SEVENTH PHARMACY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:LINNEA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:FORSELL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:651-228-1493
Mailing Address - Street 1:1106 7TH ST W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-3829
Mailing Address - Country:US
Mailing Address - Phone:651-228-1493
Mailing Address - Fax:651-228-1968
Practice Address - Street 1:1106 7TH ST W
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-3829
Practice Address - Country:US
Practice Address - Phone:651-228-1493
Practice Address - Fax:651-228-1968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2615053183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2408436OtherNCPDP
2408436OtherNCPDP
2408436OtherNCPDP