Organization
WRIGHT STATE UNIVERSITY PHARMACY
Active
Other names
FREDERICK WHITE HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BALE CPA (ASSOC DEAN)
(937) 775-3182
Entity
Organization
Contact information
Practice address
3640 COLONEL GLENN HWY, DAYTON, OH 45435-0001
(937) 775-3414
(937) 775-2167
Mailing address
3817 UNIVERSITY PARK, BSOM BUSINESS OFFICE, DAYTON, OH 45435-0001
(937) 775-3414
(937) 775-2167
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
020291500
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00581651
—
OH
01
—
3641138
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/17/2006
Last updated
12/19/2009
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