Organization
CARDINAL HEALTH 132, LLC
Active
Organization
CARDINAL HEALTH 132, LLC
Active
Parent organization
CARDINAL HEALTH 132, LLC
Other names
Fair Oaks 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
2710 MIDDLEFIELD RD STE 125, REDWOOD CITY, CA 94063-3404
(650) 480-6040
(650) 365-3342
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
56046
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177270
PK
—
Enumeration date
04/26/2018
Last updated
09/06/2022
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