Organization Name: | CARDINAL HEALTH 414, LLC |
NPI Number: | 1275949422 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL GOTTI (VP OPERATIONS) |
Mailing Address: | 1950 Bentley Ct Ste 200 Glendale Heights |
State: | IL US |
Postal Code: | 601392257 |
Phone Number: | 6305394150 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2014 |
NPI Last Update Date: | 07/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336N0007X |
License Number: | 054017077 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Nuclear Pharmacy |
Taxonomy Definition: | A pharmacy dedicated to the compounding and dispensing of radioactive materials for use in nuclear imaging and nuclear medical procedures. |