Kmart

NPI #1124456884 in Ironwood, Michigan

Provider Information

NPI Number
1124456884
Entity Type
Organization
Organization Name
Kmart
Primary Specialty
Point of Service
Enumeration Date
Oct 16, 2013
Last Updated
Oct 16, 2013

Practice Location

Address
613 FIRST NATIONAL ST
ZIP Code
49938-3329
Phone
(240) 994-3121

Authorized Official

Name
DR. KELECHI A AGUWA, PHARMD
Title
PHARMACY MANAGER
Phone
(240) 994-3121

Specialties & Taxonomy Codes

Specialty
Point of Service

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