Organization
CARDINAL HEALTH 128 LLC
Active
Other names
Innovative Care Pharmacy, MMS Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAVEEN MANSUKHANI (VICE PRESIDENT, MANAGED SERVICES)
(281) 749-4764
Entity
Organization
Contact information
Practice address
239 MASON RD, LA VERGNE, TN 37086-3212
(866) 716-5486
(866) 750-0823
Mailing address
239 MASON RD, LA VERGNE, TN 37086-3212
(866) 716-5486
(866) 750-0823
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
3886
TN
3336S0011X
Specialty Pharmacy
Primary
3886
TN
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152113
PK
—
05
—
4153376
—
TN
05
—
Q036936
—
TN
Enumeration date
11/23/2005
Last updated
05/08/2026
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