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Contact Information

KMART
10501 PINES BLVD
PEMBROKE PINES, FL33026
 Phone: 954-438-8822
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for KMART · (Female)

NPI Number 1275734972
Status Active
Credentials
Entity Individual
Enumeration date 05/30/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 16466
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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