Cardinal Health 414, LLC
Organization Active NPI Nuclear Pharmacy · Highland, IN
NPI 1801202056 · NPPES record last updated Jul 9, 2014
Key facts
- NPI
- 1801202056
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nuclear Pharmacy 3336N0007X
- License
- 60006374A (IN)
- Legal business name
- CARDINAL HEALTH 414, LLC
- Practice address
- 2715 Main St
Highland, IN 46322-3636 - Phone
- (219) 924-3795
- NPI assigned
- Jul 9, 2014
- Organization subpart
- No
Authorized official
- Name
- Paul Gotti
- Title
- VP Operations
- Phone
- (614) 757-5114
Corporate family (same tax ID) 11
Practitioners 1
-
Jesse Robert Rickelman, PHARMD.
National Provider Directory
- Tax ID family
- Cardinal Health 414 LLC
Locations
2715 Main St
Highland, IN 46322
Phone (219) 924-3795
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Pharmacy | 3336N0007X | 60006374A | IN | Yes |
Addresses
Primary practice location
2715 Main St
Highland, IN 46322-3636
Mailing address
7000 Cardinal PL
Dublin, OH 43017-1091
Phone (614) 757-7570
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2146739 | Other | PK |
Other names
- Cardinal Health 414, LLC
Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.