KMART PHRAMACY is a point of service in Pueblo, CO. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. KMART PHRAMACY NPI is 1891159976. The provider is registered as an organization entity type.
The provider's business location address is:
3415 N ELIZABETH ST
PUEBLO, CO
ZIP 81008-156
Phone: (719) 545-0707
Fax: (847) 396-2896
The provider's authorized official is Seyed Abotaleb Alavi .
The authorized official title is Pharmacist and has the following contact phone number (719) 568-0470.
The enumeration date for this NPI number is 4/5/2016 and was last updated on 4/5/2016.