K2red L.l.c.
NPI #1316031412 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1316031412
- Entity Type
- Organization
- Organization Name
- K2red L.l.c.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Apr 25, 2008
Practice Location
- Address
- 630 ADDISON AVE W STE 120
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-5475
- Phone
- (208) 737-2620
Authorized Official
- Name
- MR. DANIEL SCOTT FUCHS, RPH
- Title
- MEMBER
- Phone
- (208) 737-2620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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