# DAYTON CHILDREN'S HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DAYTON CHILDREN'S HOSPITAL
- **Other names:** Dayton Children's Hospital Specialty Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255942868
- **Legal business name:** DAYTON CHILDREN'S HOSPITAL
- **Authorized official:** MR. CHRIS BERGMAN (CFO, VP FINANCE)
- **Authorized official phone:** (937) 641-5819

## Contact information

- **Practice address:** 1 CHILDRENS PLZ, DAYTON, OH 45404-1815
- **Practice address phone:** (937) 641-3463
- **Practice address fax:** (937) 641-6301
- **Mailing address:** 1 CHILDRENS PLZ, DAYTON, OH 45404-1815
- **Mailing address phone:** (937) 641-5500
- **Mailing address fax:** (937) 641-4451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/17/2020
- **Last updated:** 06/30/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0232000195 | BOARD OF PHARMACY | OH |