Jkrxllc

LBN: Jkrxllc
Jkrxllc is an health care organization with primary practice located at 13110 W Dodge Rd Ste B , Omaha NE 68154-2102. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Jkrxllc can be contacted via phone (402) 408-0015, or through Kohll, Justin M via phone (402) 306-6503.

Contact Information

Primary practice address
13110 W Dodge Rd Ste B Omaha NE 68154-2102
Phone: (402) 408-0015
Fax: (402) 408-0020
Website:
Map and Directions
Authorized official contact:
Name: Kohll, Justin M R.PH
Phone: (402) 306-6503

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1386283893
LBN Legal business name Jkrxllc
DBA Doing business as
Authorized official Kohll, Justin M R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2019
Last updated Dec 31st, 2019 - about 7 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 1386283893 NPPES
Nebraska Other 762 CASH ONLY

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