Provider Demographics
NPI:1053016519
Name:KEX RX FALLS CITY LLC
Entity type:Organization
Organization Name:KEX RX FALLS CITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:KOECHNER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:785-742-2115
Mailing Address - Street 1:120 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:FALLS CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68355-2116
Mailing Address - Country:US
Mailing Address - Phone:402-245-2029
Mailing Address - Fax:
Practice Address - Street 1:120 E 18TH ST
Practice Address - Street 2:
Practice Address - City:FALLS CITY
Practice Address - State:NE
Practice Address - Zip Code:68355-2116
Practice Address - Country:US
Practice Address - Phone:402-245-2029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KEX RX FALLS CITY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-04
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy