Provider Demographics
NPI:1336527456
Name:CARDINAL HEALTH 128, LLC
Entity Type:Organization
Organization Name:CARDINAL HEALTH 128, LLC
Other - Org Name:MMS SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, CLINICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-312-9852
Mailing Address - Street 1:202 CUMBERLAND BND
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1804
Mailing Address - Country:US
Mailing Address - Phone:866-716-5486
Mailing Address - Fax:866-750-0823
Practice Address - Street 1:202 CUMBERLAND BND
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1804
Practice Address - Country:US
Practice Address - Phone:866-716-5486
Practice Address - Fax:866-750-0823
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARDINAL HEALTH 108, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000038863336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy