KMART PHARMACY
Organization (NPI-2)
Active
Pharmacy, Community/Retail Pharmacy
Provider Information
- NPI Number
1104236843- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1205 E PINE ST, DEMING, NM, 880307038
- Phone
- (575) 544-9008
- Fax
- (575) 544-4465
Specialties & Taxonomies
Pharmacy, Community/Retail Pharmacy
Primary License: NM #RP00007752