# BETHESDA HOSP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bethesda Butler Hospital Outpatient Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225408925
- **Authorized official:** LEONARD KAES (AMBULATORY MANAGER)
- **Authorized official phone:** (513) 862-3550

## Contact information

- **Practice address:** 3125 HAMILTON MASON RD, HAMILTON, OH 45011-5307
- **Practice address phone:** (513) 893-8173
- **Practice address fax:** (513) 893-8161
- **Mailing address:** 3125 HAMILTON MASON RD, HAMILTON, OH 45011-5307
- **Mailing address phone:** (513) 893-8173
- **Mailing address fax:** (513) 893-8161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 022192600-03 | OH | Yes |

## Other

- **Enumeration date:** 10/07/2015
- **Last updated:** 10/07/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2154474 | PK | — |