# D & D PHARMA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922029362
- **Authorized official:** GRANT DINO (CEO/OWNER)
- **Authorized official phone:** (800) 947-2711

## Contact information

- **Practice address:** 14460 GETZ RD, STE 200, NOBLESVILLE, IN 46060-3303
- **Practice address phone:** (317) 818-1059
- **Practice address fax:** (317) 818-1094
- **Mailing address:** 14450 GETZ RD, NOBLESVILLE, IN 46060-3303
- **Mailing address phone:** (800) 947-2711
- **Mailing address fax:** (317) 776-6723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 60006593A | IN | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 03/27/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200423130 | — | IN |
| 01 | — | 2167450 | PK | — |