Healthcare Provider Details

I. General information

NPI: 1730417270
Provider Name (Legal Business Name): DECILLION HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2009
Last Update Date: 04/06/2024
Certification Date: 04/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 CRAMER CREEK CT
DUBLIN OH
43017
US

IV. Provider business mailing address

270 CRAMER CREEK CT
DUBLIN OH
43017-2584
US

V. Phone/Fax

Practice location:
  • Phone: 614-367-7828
  • Fax: 614-367-1684
Mailing address:
  • Phone: 614-367-7828
  • Fax: 614-367-1684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KATHEE M KRAMM
Title or Position: CEO, PRESIDENT, LLC MANAGER
Credential:
Phone: 954-385-7322