Organization
K2RED LLC
Active
Other names
Dick's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SCOTT FUCHS RPH (MEMBER/RPH)
(208) 734-7373
Entity
Organization
Contact information
Practice address
526 SHOUP AVE W STE K, TWIN FALLS, ID 83301-5050
(208) 734-7373
(208) 734-7389
Mailing address
526 SHOUP AVE W STE K, TWIN FALLS, ID 83301-5050
(208) 734-7373
(208) 734-7389
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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