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Kmart Phramacy — NPI 1891159976, Pueblo, CO | NPI Central

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NPI 1891159976

OrganizationActive

Kmart Phramacy

NPI 1891159976 · Point of Service · Pueblo, CO

Provider details

NPI number: 1891159976
Entity type: Organization
Primary specialty: Point of ServiceManaged Care Organizations
Authorized official: Seyed Alavi, Pharmacist
License: 0013355 (CO)

Practice location

3415 N Elizabeth St

Pueblo, CO 81008-1156

Phone: (719) 545-0707

Fax: (847) 396-2896

More CO providers

Mailing address

206 S Golfwood Dr W

Pueblo, CO 81007-3674

Registry dates

Enumerated: 2016-04-05
Last updated: 2016-04-05

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