Provider Demographics
NPI:1922831411
Name:D & K BROTHERS INC
Entity type:Organization
Organization Name:D & K BROTHERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASHRAF
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFRED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-493-1500
Mailing Address - Street 1:10431 LEMON AVE STE G
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91737-3763
Mailing Address - Country:US
Mailing Address - Phone:909-493-1500
Mailing Address - Fax:909-493-1501
Practice Address - Street 1:10431 LEMON AVE STE G
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91737-3763
Practice Address - Country:US
Practice Address - Phone:909-493-1500
Practice Address - Fax:909-493-1501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy