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General NPI Number Information
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NPI Number | 1710701255
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Entity Type | Organization
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Legal Business Name | DDCRX, LLC
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 2701 HIGHPOINT OAKS DR STE 100
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City | LEWISVILLE
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State | TX
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Zip | 75067-3896
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Country | US
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Telephone | 877-355-7225
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Fax |
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Provider Business Mailing Address
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Address Line | 8333 ROCKSIDE RD
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City | CLEVELAND
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State | OH
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Zip | 44125-6134
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Country | US
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Telephone | 216-369-2200
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Fax |
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Authorized Official
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Title or Position | SVP, COMPLIANCE
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Name | TODD MICHAEL DONNELLY
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Credential |
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Telephone | 216-369-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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