Organization Name: | K MART CORP |
NPI Number: | 1164453262 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH ZANDER (DIRECTOR MANAGED CARE) |
Mailing Address: | 101 Cracker Barrel Rd Sw Fort Payne |
State: | AL US |
Postal Code: | 359683368 |
Phone Number: | 2568451171 |
Fax Number: | 2568452076 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 08/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |