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Contact Information

CCD OPERATING LLC
228 N FAIRMONT AVE
MORRISTOWN, TN37814-3768
 Phone: 423-586-6263
 Fax: 423-587-5460
 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 CCD OPERATING LLC

NPI Number 1881389989
LBN Legal business name CCD OPERATING LLC
Authorized official DAVID KRAGEL - (OWNER/PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 04/06/2023
Last updated 04/06/2023 - About 3 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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