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Organization
KMART PHARMACY
Active
Organization
KMART PHARMACY
Active
Parent organization
I DONT KNOW
Other names
Sears holdings
Organization subpart
Yes
Provider details
NPI number
Legal business name
I DONT KNOW
Authorized official
MR. ROBERT L. BURN RPH, DM (DISTRICT MANAGER-SOUTHERN REGION)
(941) 504-1447
Entity
Organization
Contact information
Practice address
26996 US HIGHWAY 19 N, CLEARWATER, FL 33761-3466
(727) 796-1033
Mailing address
2070 ENVOY CT, CLEARWATER, FL 33764-2560
(727) 709-4549
(847) 396-2725
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
PS29426
FL
Other
Enumeration date
10/03/2015
Last updated
10/03/2015
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