Provider Demographics
NPI:1861210726
Name:KD DRUG, LLC
Entity type:Organization
Organization Name:KD DRUG, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:V
Authorized Official - Last Name:KUCHAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, RP
Authorized Official - Phone:402-993-3533
Mailing Address - Street 1:PO BOX 338
Mailing Address - Street 2:
Mailing Address - City:GENOA
Mailing Address - State:NE
Mailing Address - Zip Code:68640-0338
Mailing Address - Country:US
Mailing Address - Phone:402-993-3533
Mailing Address - Fax:402-993-3530
Practice Address - Street 1:508 WILLARD AVE
Practice Address - Street 2:
Practice Address - City:GENOA
Practice Address - State:NE
Practice Address - Zip Code:68640-3039
Practice Address - Country:US
Practice Address - Phone:402-993-3533
Practice Address - Fax:402-993-3530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy