# TDCS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDWELLRX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104982404
- **Authorized official:** MR. TIMOTHY S DECKER (PRESIDENT)
- **Authorized official phone:** (402) 592-5244

## Contact information

- **Practice address:** 13831 CHALCO VALLEY PKWY, SUITE 101, OMAHA, NE 68138-6145
- **Practice address phone:** (402) 763-6520
- **Practice address fax:** (402) 763-6521
- **Mailing address:** 13831 CHALCO VALLEY PKWY, SUITE 101, OMAHA, NE 68138-6145
- **Mailing address phone:** (402) 763-6520
- **Mailing address fax:** (402) 763-6521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 269 | NE | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 01/11/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100254471-00 | — | NE |