Organization
KMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT O URFER (PHARMACIST)
(419) 473-0206
Entity
Organization
Contact information
Practice address
1801 W ALEXIS RD, TOLEDO, OH 43613-2302
(419) 473-0206
Mailing address
1801 W ALEXIS RD, TOLEDO, OH 43613-2302
(419) 473-0206
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
03109283
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03109283
PHARMACIST
OH
01
—
03109283
PHARMACIST
—
Enumeration date
04/21/2016
Last updated
04/21/2016
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