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1912361619
KMART PHARMACY 3022
BRISTOL, TN
NPI
1912361619
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Entity Type
Organization
Authorized Contact
CHARLES EDWIN ROBERTS
Pharmacist
423-968-7032
Organization Subpart ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 36205)
Enumeration Date
2016-04-08
Last Update Date
2016-04-08
Business Address
KMART PHARMACY 3022
2854 W STATE ST
BRISTOL, TN 37620-1711
Phone number: 423-968-7032
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Mailing Address
KMART PHARMACY 3022
2854 W STATE ST
BRISTOL, TN 37620-1711
Phone number: 423-968-7032
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