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Organization

K2RED LLC

Active
Other names
Winona 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
615 FILER AVE, TWIN FALLS, ID 83301-4008
(208) 734-7373
Mailing address
615 FILER AVE, TWIN FALLS, ID 83301-4008
(208) 734-7373

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3336C0003X
Community/Retail Pharmacy
3336C0004X
Compounding Pharmacy
3336H0001X
Home Infusion Therapy Pharmacy
3336L0003X
Long Term Care Pharmacy
3336M0002X
Mail Order Pharmacy

Other

Enumeration date
10/15/2020
Last updated
10/15/2020
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