| NPI | 1154777928 |
|---|---|
| Doing Business As | KMART PHARMACIST |
| Entity Type | Organization |
| Authorized Contact | KAREN M STRIEGEL Pharmacist 317-852-2213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26018649a) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |