Provider Demographics
NPI:1568704948
Name:JSK DRUG LLC
Entity Type:Organization
Organization Name:JSK DRUG LLC
Other - Org Name:RXSOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KHATU
Authorized Official - Middle Name:
Authorized Official - Last Name:ERLBACHER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:402-200-9834
Mailing Address - Street 1:527 N. WASHINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046
Mailing Address - Country:US
Mailing Address - Phone:402-502-6511
Mailing Address - Fax:866-212-6778
Practice Address - Street 1:527 N. WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046
Practice Address - Country:US
Practice Address - Phone:402-502-6511
Practice Address - Fax:866-212-6778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-22
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE5233336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy