Healthcare Provider Details

I. General information

NPI: 1871125542
Provider Name (Legal Business Name): CARDINAL HEALTH 132, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2020
Last Update Date: 09/06/2022
Certification Date: 09/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 CARDINAL PL W
DUBLIN OH
43017-1094
US

IV. Provider business mailing address

ATTN: CHC RETAIL PHARMACY DEPT. 13651 DUBLIN CT,
STAFFORD TX
77477-2577
US

V. Phone/Fax

Practice location:
  • Phone: 614-356-4014
  • Fax: 614-717-9681
Mailing address:
  • Phone: 281-749-4000
  • Fax: 614-652-0326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL D BROWN
Title or Position: VICE PRESIDENT, MANAGED SERVICES
Credential:
Phone: 281-749-4764