Organization
SEARS HOLDINGS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER STEVEN POKRASS PHARMD (PHARMACIST)
(480) 452-9121
Entity
Organization
Contact information
Practice address
4100 52ND ST, KENOSHA, WI 53144-3900
(262) 658-0902
Mailing address
4100 52ND ST, KENOSHA, WI 53144-3900
(262) 658-0902
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
051299124
IL
3336C0003X
Community/Retail Pharmacy
Primary
18051-40
WI
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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