Provider Demographics
NPI:1407474844
Name:CARDINAL HEALTH 133, INC.
Entity Type:Organization
Organization Name:CARDINAL HEALTH 133, INC.
Other - Org Name:DAVE'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, PHARMACY OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-749-4841
Mailing Address - Street 1:411 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-1019
Mailing Address - Country:US
Mailing Address - Phone:937-644-1322
Mailing Address - Fax:937-644-2360
Practice Address - Street 1:411 W 5TH ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-1019
Practice Address - Country:US
Practice Address - Phone:937-644-1322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARDINAL HEALTH 132, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-13
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy