Organization
CDE LLC
Active
Parent organization
CDE, LLC
Other names
CITY DRUG LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CDE, LLC
Authorized official
ANDREW CANNON (MANAGING MEMBER)
(307) 789-4000
Entity
Organization
Contact information
Practice address
131 10TH ST, EVANSTON, WY 82930-3421
(307) 789-4000
Mailing address
131 10TH ST, EVANSTON, WY 82930-3421
(307) 789-4000
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
09/28/2022
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