Organization Name: | KMART PHARMACY #4851 |
NPI Number: | 1659748093 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN SCHUCK (DISTRICT MANAGER) |
Mailing Address: | 701 68th St Sw Byron Center |
State: | MI US |
Postal Code: | 493158372 |
Phone Number: | 6162818212 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2015 |
NPI Last Update Date: | 09/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0003X |
License Number: | 5302040753 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Community/Retail Pharmacy |
Taxonomy Definition: | A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |