Healthcare Provider Details
I. General information
NPI: 1851848634
Provider Name (Legal Business Name): K & K RX SERVICES, LP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/08/2016
Last Update Date: 04/06/2024
Certification Date: 04/06/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3070 MCCANN FARM DR SUITE 101
GARNET VALLEY PA
19060
US
IV. Provider business mailing address
3070 MCCANN FARM DR SUITE 101
GARNET VALLEY PA
19060-2131
US
V. Phone/Fax
- Phone: 610-545-6040
- Fax: 610-545-6030
- Phone: 610-545-6040
- Fax: 610-545-6030
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336H0001X |
| Taxonomy | Home Infusion Therapy Pharmacy |
| License Number | PP481819 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | PP481819 |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336M0002X |
| Taxonomy | Mail Order Pharmacy |
| License Number | PP481919 |
| License Number State | PA |
VIII. Authorized Official
Name:
KATHEE
M
KRAMM
Title or Position: CEO, PRESIDENT, LLC MANAGER OF G.P.
Credential:
Phone: 954-385-7322