Organization
CDI LONG TERM CARE LLC
Active
Other names
CDI LONG TERM CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK MERCHANT (CEO)
(614) 263-9424
Entity
Organization
Contact information
Practice address
11 W DUNCAN ST., COLUMBUS, OH 43202
(614) 263-9424
(614) 263-2929
Mailing address
11 W DUNCAN ST., COLUMBUS, OH 43202
(614) 263-9424
(614) 263-2929
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
022070800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3679365
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/18/2010
Last updated
10/18/2010
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