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Organization

DAYTON FOODS LIMITED PARTNERSHIP

Active
Other names
CUB PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE LOFINO RPH (PRESIDENT)
(937) 431-1602
Entity
Organization

Contact information

Practice address
5495 SALEM AVE, TROTWOOD, OH 45426-1556
(937) 837-8810
(937) 837-6557
Mailing address
3255 SEAJAY DR, BEAVERCREEK, OH 45430-1356
(937) 431-1662

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
020940900
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0287185
OH
01
3662473
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
11/27/2006
Last updated
01/06/2011
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