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General NPI Number Information
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NPI Number | 1740008622
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Entity Type | Organization
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Legal Business Name | KD DRUG, LLC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 508 WILLARD AVE
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City | GENOA
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State | NE
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Zip | 68640-3039
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Country | US
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Telephone | 402-993-3533
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Fax | 402-993-3530
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Provider Business Mailing Address
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Address Line | PO BOX 338
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City | GENOA
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State | NE
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Zip | 68640-0338
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. TRAVIS KUCHAR
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Credential | PHARMD, R.P.
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Telephone | 402-993-3533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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