Organization
KMART STORES OF IL LLC 3105
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD SCHWEIHS PHARM D (PDM)
(815) 626-5862
Entity
Organization
Contact information
Practice address
2901 E LINCOLNWAY, STERLING, IL 61081-1780
(815) 626-5862
Mailing address
2901 E LINCOLNWAY, STERLING, IL 61081-1780
(815) 626-5862
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
IL
Other
Enumeration date
08/28/2013
Last updated
07/21/2022
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