# DAYTON CHILDRENS HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dayton Children's Hospital-South Campus, Dayton Children's Hospital - South Campus Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487108932
- **Authorized official:** CHRIS BERGMAN (VP/CFO)
- **Authorized official phone:** (937) 641-5080

## Contact information

- **Practice address:** 3333 W TECH RD, MIAMISBURG, OH 45342-0955
- **Practice address phone:** (937) 641-5080
- **Practice address fax:** (937) 641-4848
- **Mailing address:** 3333 W TECH RD, MIAMISBURG, OH 45342-0955
- **Mailing address phone:** (937) 641-5080
- **Mailing address fax:** (937) 641-4848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | CLPH.020612250- | OH | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/12/2016
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0180849 | — | OH |
| 01 | — | 3684481 | NABP | OH |