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K Mart Corp

K Mart Corp is a health care provider in Hoffman Estates, IL. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1901 Lincoln Hwy, North Versailles, PA 15137-2736, US
Practice Location Phone412-823-7270
Practice Location Fax412-823-1958
Legal Business NameK MART CORP
Other Organization NameKMART PHARMACY 4064
Other Organization Name TypeDoing Business As Name
NPI ?1073544045
Entity TypeOrganization
Enumeration Date ? Jul 6, 2006
Last Update Date ? Feb 4, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of K Mart Corp

SpecialtySpecializationLicenseLicense State
Pharmacy
PharmacyCommunity/Retail Pharmacy PP414497LPennsylvania

legacy-id-icon Legacy Provider IDs of K Mart Corp

Provider IdIssuer StateIssuer TypeIssuer
2080876OtherPK
1007662280157PennsylvaniaMedicaid
1007503260068PennsylvaniaMedicaid

official-icon Authorized Official of K Mart Corp

An authorized official is an appointed official with the legal authority to make changes and/or updates to the K Mart Corp's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Jennifer Speares
Authorized Official Title/PositionDIR. OF COMPLIANCE AND ADMIN.
Authorized Official Phone Number847-286-5116