Kmart Phramacy

LBN: Kmart Phramacy
Kmart Phramacy is an health care organization with primary practice located at 3415 N Elizabeth St , Pueblo CO 81008-1156. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Kmart Phramacy can be contacted via phone (719) 545-0707, or through Alavi, Seyed Abotaleb via phone (719) 568-0470.

Contact Information

Primary practice address
3415 N Elizabeth St Pueblo CO 81008-1156
Phone: (719) 545-0707
Fax: (847) 396-2896
Website:
Map and Directions
Authorized official contact:
Name: Alavi, Seyed Abotaleb RPH
Phone: (719) 568-0470

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 0013355 Colorado

Profile Details

NPI number 1891159976
LBN Legal business name Kmart Phramacy
DBA Doing business as
Authorized official Alavi, Seyed Abotaleb RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2016
Last updated Apr 5th, 2016 - about 8 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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