Provider Demographics
NPI:1003272352
Name:SEARS HOLDINGS
Entity Type:Organization
Organization Name:SEARS HOLDINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DISTRICT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HEUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-344-0964
Mailing Address - Street 1:5027 W PEA RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25705-3139
Mailing Address - Country:US
Mailing Address - Phone:276-219-7769
Mailing Address - Fax:
Practice Address - Street 1:5636 US ROUTE 60
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705-2148
Practice Address - Country:US
Practice Address - Phone:304-736-2098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-31
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVIN0006223282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural