Provider Demographics
NPI:1922365865
Name:K & S PHARMACY LTD
Entity Type:Organization
Organization Name:K & S PHARMACY LTD
Other - Org Name:K&S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-356-1000
Mailing Address - Street 1:PO BOX 236
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:MN
Mailing Address - Zip Code:56310-0236
Mailing Address - Country:US
Mailing Address - Phone:320-356-1000
Mailing Address - Fax:320-356-1053
Practice Address - Street 1:107 AVON AVE S STE 1
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:MN
Practice Address - Zip Code:56310-8517
Practice Address - Country:US
Practice Address - Phone:320-356-1000
Practice Address - Fax:320-356-1053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-17
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MN2638633336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2134756OtherPK
2431295OtherNCPDP PROVIDER IDENTIFICATION NUMBER