Organization
K2RED L.L.C.
Active
Other names
KWIK MEDS
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SCOTT FUCHS RPH (MEMBER)
(208) 878-6339
Entity
Organization
Contact information
Practice address
256 OVERLAND AVE, BURLEY, ID 83318-1023
(208) 878-6337
(208) 878-6339
Mailing address
256 OVERLAND AVE, BURLEY, ID 83318-1023
(208) 878-6337
(208) 878-6339
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1702CP
ID
3336C0003X
Community/Retail Pharmacy
Primary
1702CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806427800
—
ID
05
—
806437000
—
ID
Enumeration date
09/20/2006
Last updated
04/25/2008
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