Kmart Pharmacy
NPI #1104236843 in Deming, New Mexico
Provider Information
- NPI Number
- 1104236843
- Entity Type
- Organization
- Organization Name
- Kmart Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 3, 2014
- Last Updated
- May 3, 2014
Practice Location
- Address
- 1205 E PINE ST
- City
- Deming
- State
- New Mexico
- ZIP Code
- 88030-7038
- Phone
- (575) 544-9008
Authorized Official
- Name
- MR. AMBRISH N PATEL, PHARMD
- Title
- PHARMACY MANAGER
- Phone
- (405) 370-4669
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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