Organization
CARDINAL HEALTH 132, LLC
Active
Parent organization
CARDINAL HEALTH 132, LLC
Other names
Blackstone Valley Community Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARDINAL HEALTH 132, LLC
Authorized official
MICHAEL BROWN (VICE PRESIDENT, MANAGED SERVICES)
(281) 749-4764
Entity
Organization
Contact information
Practice address
39 EAST AVE, SUITE 100, PAWTUCKET, RI 02860-4003
(401) 642-2093
(401) 728-0456
Mailing address
ATTN: CHC RETAIL PHARMACY DEPT. 13651 DUBLIN CT, STAFFORD, TX 77477
(281) 749-4000
(614) 652-0326
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHA00614
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166021
PK
—
Enumeration date
11/04/2016
Last updated
09/20/2022
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