Kmart Pharmacy

NPI #1194188953 in Toledo, Ohio

Provider Information

NPI Number: 1194188953
Entity Type: Organization
Organization Name: Kmart Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: Mar 30, 2016
Last Updated: Mar 30, 2016

Practice Location

Address: 1801 W ALEXIS RD
City: Toledo
State: Ohio
ZIP Code: 43613-2302
Phone: (419) 473-0206

Authorized Official

Name: MR. LAWRENCE SHEETS
Title: PHARMACIST/MANAGER
Phone: (419) 473-0206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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