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Contact Information

CDE LLC
131 10TH ST
EVANSTON, WY82930-3421
 Phone: 307-789-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CDE LLC

NPI Number 1881160190
LBN Legal business name CDE LLC
Authorized official ANDREW CANNON - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/15/2018
Last updated 09/28/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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