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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KMART 4062

Active Organization

KMART 4062 is a Pharmacy organization located in DANVILLE, Virginia. NPI 1790148617 is currently active in the NPPES registry. Verify at CMS.

Pharmacy · DANVILLE, VA

Registration Details

NPI Number
1790148617
Provider Type
Organization
NPI Issued
Mar 29, 2016 (10.400420078488 yrs)
Last Updated
Mar 29, 2016
License
0202010116 (VA)

Practice Information

Address
3311 RIVERSIDE DR
DANVILLE, VA, 245413430
Browse VA providers · Browse ZIP 24541
Phone
4347990162
Fax
8473962798
Primary Specialty
Pharmacy
333600000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.