# KMART PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639523467
- **Authorized official:** RYAN ROBINSON (PHARMACIST)
- **Authorized official phone:** (605) 352-4525

## Contact information

- **Practice address:** 1000 18TH ST SW, HURON, SD 57350-3486
- **Practice address phone:** (605) 352-4525
- **Mailing address:** 1000 18TH ST SW, HURON, SD 57350-3486
- **Mailing address phone:** (605) 352-4525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 6227 | SD | Yes |

## Other

- **Enumeration date:** 04/18/2016
- **Last updated:** 04/18/2016