C&K EXPRESS, LLC
330 Dakota St
Sutherlin, OR 97479
541-459-5811
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | OR | 001994 |
X | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies | OR | 001994 |
X | 333600000X | Suppliers - Pharmacy | OR | 001994 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
005894 | OR | MEDICAID | |
MEDICARE FLU | 133506 | OTHER | |
182787 | OR | MEDICAID | |
NCPDP | 3814717 | OR | OTHER |
DEA | BP7856238 | OTHER |