Organization
DIVVYMED, LLC
Active
Other names
divvyDOSE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN EUGENE BURR (SECRETARY)
(712) 310-4701
Entity
Organization
Contact information
Practice address
4300 44TH AVE, MOLINE, IL 61265
(844) 693-4889
(855) 587-7952
Mailing address
4300 44TH AVE, MOLINE, IL 61265-6755
(844) 693-4889
(309) 807-2462
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/23/2015
Last updated
12/11/2024
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