Organization
CARDINAL HEALTH PHARMACY SERVICES, LLC
Active
Parent organization
CARDINAL HEALTH PHARMACY SERVICES, LLC
Other names
Mountain Laurel Community Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARDINAL HEALTH PHARMACY SERVICES, LLC
Authorized official
MICHAEL BROWN (VICE PRESIDENT, MANAGED SERVICES)
(281) 749-4764
Entity
Organization
Contact information
Practice address
1027 MEMORIAL DR, SUITE 100, OAKLAND, MD 21550-4343
(301) 245-7002
(614) 652-4305
Mailing address
13651 DUBLIN CT, STAFFORD, TX 77477-4317
(281) 749-4000
(614) 652-0326
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06891
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154185
PK
—
Enumeration date
09/24/2015
Last updated
04/25/2024
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