Medical Office Pharmacy

LBN: K2Red L.L.C.
Medical Office Pharmacy is an health care organization with primary practice located at 630 Addison Ave W Ste 120 , Twin Falls ID 83301-5475. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. K2Red L.L.C. can be contacted via phone (208) 737-2620, or through Fuchs, Daniel Scott via phone (208) 737-2620.

Contact Information

Primary practice address
630 Addison Ave W Ste 120 Twin Falls ID 83301-5475
Phone: (208) 737-2620
Fax: (208) 737-2621
Website:
Map and Directions
Authorized official contact:
Name: Fuchs, Daniel Scott RPH
Phone: (208) 737-2620

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 1328CP Idaho

Profile Details

NPI number 1316031412
LBN Legal business name K2Red L.L.C.
DBA Doing business as Medical Office Pharmacy
Authorized official Fuchs, Daniel Scott RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316031412 NPPES
Idaho MEDICAID 805111800

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