Organization
DAYTON OSTEOPATHIC HOSPITAL
Active
Parent organization
DAYTON OSTEOPATHIC HOSPITAL
Other names
Kettering Health Pharmacy Cassano
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAYTON OSTEOPATHIC HOSPITAL
Authorized official
MR. KEVIN BLACKBURN RPH (DIRECTOR OF PHARMACY)
(937) 458-4932
Entity
Organization
Contact information
Practice address
165 S EDWIN C MOSES BLVD, DAYTON, OH 45402-8472
(937) 558-0199
(937) 558-0198
Mailing address
4301 LYONS RD, MIAMISBURG, OH 45342-6446
(937) 384-6853
(937) 384-6804
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
021374100
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2403670
—
OH
Enumeration date
11/07/2006
Last updated
01/22/2025
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