NPI 1619386901 · live from the CMS NPI Registry
Kmart Pharmacy
Pharmacy, Community/Retail Pharmacy in Casper, WY. National Provider Identifier 1619386901, active.
NPI record
| NPI | 1619386901 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 4000 East 2nd, Casper, WY 82609 |
| Practice phone | 307-265-1331 |
| Mailing address | 4000 E 2nd St, Casper, WY 82609 |
| Enumerated | August 12, 2014 |
| Last updated | August 12, 2014 |
| Authorized official | Patrick Murry, Pharmacist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 2889 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.