Organization
SEARS HOLDING COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN SALYER RPH (DISTRICT LEAD)
(859) 312-9648
Entity
Organization
Contact information
Practice address
420 E HIGHWAY 80, SOMERSET, KY 42501-1691
(606) 679-1121
Mailing address
420 E HIGHWAY 80, SOMERSET, KY 42501-1691
(606) 679-1121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
183500000X
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183500000X
PHARMACY
KY
Enumeration date
04/06/2016
Last updated
04/06/2016
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