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Kmart Pharmacy — NPI 1104236843, Deming, NM | NPI Central

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NPI 1104236843

OrganizationActive

Kmart Pharmacy

NPI 1104236843 · Community/Retail Pharmacy · Deming, NM

Provider details

NPI number: 1104236843
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Ambrish Patel, Pharmacy Manager(405) 370-4669
License: RP00007752 (NM)

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense RP00007752 (NM)
Suppliers

Practice location

1205 E Pine St

Deming, NM 88030-7038

Phone: (575) 544-9008

Fax: (575) 544-4465

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

1205 E Pine St

Deming, NM 88030-7038

Registry dates

Enumerated: 2014-05-03
Last updated: 2014-05-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.