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Organization

MIAMI VALLEY HOSPITAL

Active
Parent organization
MIAMI VALLEY HOSPITAL
Other names
Premier Health Specialty Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
MIAMI VALLEY HOSPITAL
Authorized official
MR. CRAIG GANGER (SYSTEM VP/CHIEF FINANCIAL OFFICER)
(937) 499-9988
Entity
Organization

Contact information

Practice address
3170 KETTERING BLVD BLDG B, MORAINE, OH 45439-1924
(937) 208-0330
(937) 641-2722
Mailing address
3170 KETTERING BLVD BLDG B, MORAINE, OH 45439-1924
(937) 208-0330
(937) 641-2722

Taxonomy

Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary

Other

Enumeration date
11/30/2023
Last updated
11/30/2023
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