Organization
LDI IV CARE LLC
Active
Parent organization
LEEHAR DISTRIBUTORS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEEHAR DISTRIBUTORS INC
Authorized official
GRANT S DINO PHARM D (PRESIDENT)
(314) 652-2121
Entity
Organization
Contact information
Practice address
65 SOUTH 65TH STREET, SUITE 1, BELLEVILLE, IL 62223-2946
(618) 398-2720
(618) 398-3458
Mailing address
680 CRAIG ROAD, SUITE 200, ST LOUIS, MO 63141-7120
(314) 652-2121
(314) 652-2126
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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