# RUBICON DTP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Direct Dose Rx
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760048755
- **Authorized official:** DAVID E BURAND RPH (PRESIDENT)
- **Authorized official phone:** (317) 552-1100

## Contact information

- **Practice address:** 5751 W 73RD ST \# A, INDIANAPOLIS, IN 46278-1741
- **Practice address phone:** (317) 524-1515
- **Practice address fax:** (888) 833-7928
- **Mailing address:** 5751 W 73RD ST \# A, INDIANAPOLIS, IN 46278-1741
- **Mailing address phone:** (317) 552-1100
- **Mailing address fax:** (317) 552-1101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | — | — | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | — | — |
| 3336M0002X | Mail Order Pharmacy | — | — | — |

## Other

- **Enumeration date:** 05/15/2019
- **Last updated:** 03/07/2023