Kmart Pharmacy # 4156

NPI #1023462355 in Urbandale, Iowa

Provider Information

NPI Number
1023462355
Entity Type
Organization
Organization Name
Kmart Pharmacy # 4156
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 23, 2016
Last Updated
Apr 23, 2016

Practice Location

Address
7501 HICKMAN RD
State
Iowa
ZIP Code
50322-4603
Phone
(515) 270-2623

Authorized Official

Name
PRESTON J WITT, RPH
Title
PHARMACIST MANAGER
Phone
(515) 270-2623

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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