Kmart Stores of Il LLC 3105

NPI #1699109496 in Sterling, Illinois

Provider Information

NPI Number
1699109496
Entity Type
Organization
Organization Name
Kmart Stores of Il LLC 3105
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 28, 2013
Last Updated
Jul 21, 2022

Practice Location

Address
2901 E LINCOLNWAY
ZIP Code
61081-1780
Phone
(815) 626-5862

Authorized Official

Name
MR. RONALD SCHWEIHS, PHARM D
Title
PDM
Phone
(815) 626-5862

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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