NPI 1508420373

K2red LLC

Organisation Community/Retail Pharmacy Wendell, ID

Practice location

Address: 447 N Idaho St, Wendell, ID 83355
Phone: (208) 734-7373
Fax: (208) 734-7389

Authorised official

Name: Daniel Scott Fuchs
Title: Member
Phone: (208) 734-7373

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X

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Registry record

NPI: 1508420373
Entity type: Organization
NPI issued: 27 Apr 2019
Record last updated: 22 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.