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CARDINAL HEALTH 132 LLC NPI 1487199972


NPI Information

NPI: 1487199972
Provider Name: CARDINAL HEALTH 132, LLC

Doing Business As: MERCY CARE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 11D2126378

Address:
424 DECATUR STREET NE
SUITE 100
ATLANTA, GA
ZIP 30303
Phone: (404) 439-0949
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CARDINAL HEALTH 132, LLC is a community/retail pharmacy pharmacy in Atlanta, GA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CARDINAL HEALTH 132, LLC NPI is 1487199972. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Care Pharmacy.

The provider's business location address is:

424 DECATUR STREET NE
SUITE 100
ATLANTA, GA
ZIP 30303
Phone: (404) 439-0949
Fax: (614) 652-0785

The provider's authorized official is Michael Brown .
The authorized official title is Vice President, Managed Services and has the following contact phone number (281) 749-4764.

The CLIA number assigned to this NPI record is 11D2126378 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/20/2016 and was last updated on 9/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHRE010329GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12166825OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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