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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