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Kmart Phramacy
Point of Service in Pueblo, Colorado
NPI 1891159976

Kmart Phramacy is a Point of Service based in Pueblo, CO. Kmart Phramacy practices in Pueblo, CO. The NPI Number for Kmart Phramacy is 1891159976 and holds a License No. 0013355 (Colorado).

The current practice location address for Kmart Phramacy is 3415 N Elizabeth St, Pueblo, CO and can be reached out via phone at 719-545-0707 and via fax at 847-396-2896.

Location: 3415 N Elizabeth St, Pueblo, CO, 81007-3674
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891159976
Provider Name
Kmart Phramacy
Credential
Provider Entity Type
Organization
Address
3415 N Elizabeth St, Pueblo, CO, 81007-3674
Phone Number
719-545-0707
Fax Number
847-396-2896
Provider Enumeration Date
04/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3415 N Elizabeth St
City
Pueblo
State
Colorado
Zip
81008-1156
Phone Number
719-545-0707
Fax Number
847-396-2896
person
Provider Business Mailing Address Details
Address
3415 N Elizabeth St
City
Pueblo
State
Colorado
Zip
81008-1156
Phone Number
719-545-0707
Fax Number
847-396-2896
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
0013355 (Colorado)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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