# KMART PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** I DONT KNOW
- **Other names:** Sears holdings
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568832517
- **Legal business name:** I DONT KNOW
- **Authorized official:** MR. ROBERT L. BURN RPH, DM (DISTRICT MANAGER-SOUTHERN REGION)
- **Authorized official phone:** (941) 504-1447

## Contact information

- **Practice address:** 26996 US HIGHWAY 19 N, CLEARWATER, FL 33761-3466
- **Practice address phone:** (727) 796-1033
- **Mailing address:** 2070 ENVOY CT, CLEARWATER, FL 33764-2560
- **Mailing address phone:** (727) 709-4549
- **Mailing address fax:** (847) 396-2725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | PS29426 | FL | Yes |

## Other

- **Enumeration date:** 10/03/2015
- **Last updated:** 10/03/2015