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Contact Information

CARDINAL HEALTH 414, LLC
1100 AIRPORT N, SUITE D
FORT WAYNE, IN46825
 Phone: 260-489-1173
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Pharmacy

3336N0007X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CARDINAL HEALTH 414, LLC

NPI # 1508272691
LBN Legal business name CARDINAL HEALTH 414, LLC
Authorized official PAUL GOTTI - (VP OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2014
Last updated 07/09/2014 - About 12 years ago
Identifiers
IN License # 60006375A
Other 2146742 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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