Kj'S Pharmacy

LBN: T2 Apothecary
Kj'S Pharmacy is an health care organization with primary practice located at 615 Filer Ave , Twin Falls ID 83301-4008. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. T2 Apothecary can be contacted via phone (208) 733-9242, or through Wadsworth, Thomas Gill via phone (208) 733-9242.

Contact Information

Primary practice address
615 Filer Ave Twin Falls ID 83301-4008
Fax: (208) 733-2810
Website:
Authorized official contact:
Name: Wadsworth, Thomas Gill PHARM.D.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Pharmacy 333600000X 37753RP Idaho
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1609931039
LBN Legal business name T2 Apothecary
DBA Doing business as Kj'S Pharmacy
Authorized official Wadsworth, Thomas Gill PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Mar 24th, 2016 - about 8 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 1609931039 NPPES
Other 2020843 PK
MEDICAID 002654200 PK

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