Organization
KMART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATASHA PISTILLI PHARM.D. (PHARMACY MANAGER)
(859) 539-0485
Entity
Organization
Contact information
Practice address
2965 HEMINGWAY LANE, LEXINGTON, KY 40513-0000
(859) 539-0485
Mailing address
2965 HEMINGWAY LN, LEXINGTON, KY 40513-1856
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018196
KY
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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