Organization
DAVITA RX, LLC
Active
Organization
DAVITA RX, LLC
Active
Other names
DaVita Rx
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK MCKINNON (SR VICE PRESIDENT)
(303) 876-2857
Entity
Organization
Contact information
Practice address
1234 LAKESHORE DR STE 200, COPPELL, TX 75019-4980
(901) 867-5357
(866) 208-4462
Mailing address
1234 LAKESHORE DR STE 200, COPPELL, TX 75019-4980
(901) 867-5357
(866) 208-4462
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
11/14/2007
Last updated
05/02/2017
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