Kmart

NPI #1609239136 in Toledo, Ohio

Provider Information

NPI Number: 1609239136
Entity Type: Organization
Organization Name: Kmart
Primary Specialty: Pharmacist
Enumeration Date: Apr 1, 2016
Last Updated: Apr 1, 2016

Practice Location

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

Authorized Official

Name: MR. ANDREW BERNARD HEUER, R.PH.
Title: PHARMACIST
Phone: (419) 473-0206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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