# DAYTON OSTEOPATHIC HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DAYTON OSTEOPATHIC HOSPITAL
- **Other names:** Kettering Health Pharmacy Cassano
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164591764
- **Legal business name:** DAYTON OSTEOPATHIC HOSPITAL
- **Authorized official:** MR. KEVIN BLACKBURN RPH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (937) 458-4932

## Contact information

- **Practice address:** 165 S EDWIN C MOSES BLVD, DAYTON, OH 45402-8472
- **Practice address phone:** (937) 558-0199
- **Practice address fax:** (937) 558-0198
- **Mailing address:** 4301 LYONS RD, MIAMISBURG, OH 45342-6446
- **Mailing address phone:** (937) 384-6853
- **Mailing address fax:** (937) 384-6804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 021374100 | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 01/22/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2403670 | — | OH |