Organization
KMART PHARMACY
Active
Parent organization
SEARS HOLDINGS CO.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEARS HOLDINGS CO.
Authorized official
LANETTE MARIE SCARAN (PHARMACIST)
(610) 395-2329
Entity
Organization
Contact information
Practice address
4701 W TILGHMAN ST, ALLENTOWN, PA 18104-3211
(610) 395-2329
(847) 396-2871
Mailing address
4701 W TILGHMAN ST, ALLENTOWN, PA 18104-3211
(610) 395-2329
(847) 396-2871
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP034253L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007662280108
—
PA
Enumeration date
03/30/2016
Last updated
03/30/2016
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