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Organization
DAYTON CHILDREN'S HOSPITAL
Active
Organization
DAYTON CHILDREN'S HOSPITAL
Active
Parent organization
DAYTON CHILDREN'S HOSPITAL
Other names
Dayton Children's Hospital Specialty Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAYTON CHILDREN'S HOSPITAL
Authorized official
MR. CHRIS BERGMAN (CFO, VP FINANCE)
(937) 641-5819
Entity
Organization
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3463
(937) 641-6301
Mailing address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-5500
(937) 641-4451
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0232000195
BOARD OF PHARMACY
OH
Enumeration date
08/17/2020
Last updated
06/30/2022
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