Provider Demographics
NPI:1710767058
Name:MEDTRONIC LOGISTICS LLC
Entity Type:Organization
Organization Name:MEDTRONIC LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROJECT MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAY
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-381-6730
Mailing Address - Street 1:243 LYNWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8847
Mailing Address - Country:US
Mailing Address - Phone:614-381-6730
Mailing Address - Fax:614-489-5164
Practice Address - Street 1:5300 AIRWAYS BLVD STE 101
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-9400
Practice Address - Country:US
Practice Address - Phone:901-344-0922
Practice Address - Fax:614-454-4200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy