Dick'S Pharmacy
LBN: K2Red L.L.C.
Dick'S Pharmacy is an health care organization with primary practice located at 526 Shoup Ave W Ste K , Twin Falls ID 83301-5050. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
K2Red L.L.C. can be contacted via phone (208) 734-7373, or through Fuchs, Daniel Scott via phone (208) 734-7373.
Contact Information
Primary practice address
526 Shoup Ave W Ste K
Twin Falls ID 83301-5050
Phone: (208) 734-7373
Fax: (208) 734-7389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 1307CP | Idaho |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 1307CP | Idaho |
| Suppliers / Specialty Pharmacy | 3336S0011X | 1307CP | Idaho |
Profile Details
| NPI number | 1295832574 |
|---|---|
| LBN Legal business name | K2Red L.L.C. |
| DBA Doing business as | Dick'S Pharmacy |
| Authorized official | Fuchs, Daniel Scott RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Apr 25th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295832574 | NPPES |
| Idaho | MEDICAID | 805156900 | |
| Idaho | MEDICAID | 805182800 |
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