Kmart Pharmacy

LBN: Kmart Pharmacy
Kmart Pharmacy is an health care organization with primary practice located at 1205 E Pine St , Deming NM 88030-7038. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Kmart Pharmacy can be contacted via phone (575) 544-9008, or through Patel, Ambrish N via phone (405) 370-4669.

Contact Information

Primary practice address
1205 E Pine St Deming NM 88030-7038
Fax: (575) 544-4465
Website:
Authorized official contact:
Name: Patel, Ambrish N PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X RP00007752 New Mexico

Profile Details

NPI number 1104236843
LBN Legal business name Kmart Pharmacy
DBA Doing business as
Authorized official Patel, Ambrish N PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2014
Last updated May 3rd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104236843 NPPES
New Mexico Other 1619908753 PHARMACY NPI NUMBER

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