Provider Demographics
NPI:1750741807
Name:K REMEDY LLC.
Entity type:Organization
Organization Name:K REMEDY LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/CMO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-740-2537
Mailing Address - Street 1:2211 NW PROFESSIONAL DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-3891
Mailing Address - Country:US
Mailing Address - Phone:185-572-2551
Mailing Address - Fax:541-230-1189
Practice Address - Street 1:2211 NW PROFESSIONAL DR
Practice Address - Street 2:SUITE 201
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-3891
Practice Address - Country:US
Practice Address - Phone:185-572-2551
Practice Address - Fax:541-230-1189
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KANNACT INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy