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KMART PHARMACY NPI 1790148492


NPI Information

NPI: 1790148492
Provider Name: KMART PHARMACY
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2110 S M 76
WEST BRANCH, MI
ZIP 48661
Phone: (989) 345-4884
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KMART PHARMACY is a pharmacy in West Branch, MI. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. KMART PHARMACY NPI is 1790148492. The provider is registered as an organization entity type.

The provider's business location address is:

2110 S M 76
WEST BRANCH, MI
ZIP 48661-737
Phone: (989) 345-4884
Fax: (847) 396-2732

The provider's authorized official is Brian Schuck .
The authorized official title is Pharmacy District Manager and has the following contact phone number (616) 361-3649.

The enumeration date for this NPI number is 3/30/2016 and was last updated on 3/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy5301005457MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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