Kmart Pharmacy

LBN: Kmart Pharmacy
Kmart Pharmacy is an health care organization with primary practice located at 4701 W Tilghman St , Allentown PA 18104-3211. 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 (610) 395-2329, or through Scaran, Lanette Marie via phone (610) 395-2329.

Contact Information

Primary practice address
4701 W Tilghman St Allentown PA 18104-3211
Phone: (610) 395-2329
Fax: (847) 396-2871
Website:
Map and Directions
Authorized official contact:
Name: Scaran, Lanette Marie
Phone: (610) 395-2329

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X RP034253L Pennsylvania

Profile Details

NPI number 1437512241
LBN Legal business name Kmart Pharmacy
DBA Doing business as
Authorized official Scaran, Lanette Marie
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 30th, 2016
Last updated Mar 30th, 2016 - about 10 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 1437512241 NPPES
Pennsylvania MEDICAID 1007662280108

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