# KELLOGG DRUGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunnyside Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629667787
- **Authorized official:** ALPESH PATEL (OWNER)
- **Authorized official phone:** (813) 304-2221

## Contact information

- **Practice address:** 131 WEST CAMERON AVE, KELLOG, ID 83837
- **Practice address phone:** (208) 784-6221
- **Practice address fax:** (208) 786-1602
- **Mailing address:** 131 WEST CAMERON AVE, KELLOG, ID 83837
- **Mailing address phone:** (208) 784-6221
- **Mailing address fax:** (208) 786-1602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/13/2021
- **Last updated:** 01/13/2021