Kmart Pharmacy # 4156

LBN: Kmart Pharmacy # 4156
Kmart Pharmacy # 4156 is an health care organization with primary practice located at 7501 Hickman Rd , Urbandale IA 50322-4603. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Kmart Pharmacy # 4156 can be contacted via phone (515) 270-2623, or through Witt, Preston J via phone (515) 270-2623.

Contact Information

Primary practice address
7501 Hickman Rd Urbandale IA 50322-4603
Phone: (515) 270-2623
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Witt, Preston J RPH
Phone: (515) 270-2623

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 16824 Iowa

Profile Details

NPI number 1023462355
LBN Legal business name Kmart Pharmacy # 4156
DBA Doing business as
Authorized official Witt, Preston J RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2016
Last updated Apr 23rd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023462355 NPPES
Other 1417988478 GROUP NPI KMART PHARMACY 4156

Popular Providers