# CDI LONG TERM CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CDI LONG TERM CARE LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588974083
- **Authorized official:** FREDERICK MERCHANT (CEO)
- **Authorized official phone:** (614) 263-9424

## Contact information

- **Practice address:** 11 W DUNCAN ST., COLUMBUS, OH 43202
- **Practice address phone:** (614) 263-9424
- **Practice address fax:** (614) 263-2929
- **Mailing address:** 11 W DUNCAN ST., COLUMBUS, OH 43202
- **Mailing address phone:** (614) 263-9424
- **Mailing address fax:** (614) 263-2929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 022070800 | OH | Yes |

## Other

- **Enumeration date:** 10/18/2010
- **Last updated:** 10/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3679365 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |