Jerome Drug

LBN: K2Red Llc
Jerome Drug is an health care organization with primary practice located at 111 Pioneer Ct Ste 2 , Jerome ID 83338-5193. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. K2Red Llc can be contacted via phone (208) 324-2440, or through Fuchs, Daniel via phone (208) 735-8700.

Contact Information

Primary practice address
111 Pioneer Ct Ste 2 Jerome ID 83338-5193
Phone: (208) 324-2440
Fax: (208) 324-2165
Website:
Map and Directions
Authorized official contact:
Name: Fuchs, Daniel RPH
Phone: (208) 735-8700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 17019RP Idaho

Profile Details

NPI number 1073800314
LBN Legal business name K2Red Llc
DBA Doing business as Jerome Drug
Authorized official Fuchs, Daniel RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2011
Last updated Mar 29th, 2016 - about 10 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 1073800314 NPPES
Other 2130826 PK

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