NPI 1063877041

Sears Holdings Company

Organisation Exclusive Provider Organization Lynchburg, VA

Practice location

Address: 2315 Wards Rd, Lynchburg, VA 24502-2101
Phone: (434) 239-0387
Fax: (847) 396-2803

Authorised official

Name: Daniel Lineberry
Title: Pharmacist
Phone: (434) 239-0387

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 0202206233 (VA)

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Registry record

NPI: 1063877041
Entity type: Organization
NPI issued: 17 Dec 2015
Record last updated: 17 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.