CARDINAL HEALTH 414, LLC; NPI #1073920641

Contact Information

CARDINAL HEALTH 414, LLC

6156 TRUST DR STE B
HOLLAND, OH 43528-7860

Phone: 419-867-1077
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nuclear Pharmacy	3336N0007X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for CARDINAL HEALTH 414, LLC

NPI # 1073920641

LBN Legal business name CARDINAL HEALTH 414, LLC

Authorized official PAUL GOTTI - (VP OPERATIONS)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/16/2014

Last updated 07/16/2014 - About 12 years ago

Identifiers

OH	License #	020231050
	Other	2146685	PK

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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