Organization
DAYTON OSTEOPATHIC HOSPITAL
Active
Parent organization
DAYTON OSTEOPATHIC HOSPITAL
Other names
Kettering Health Specialty Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAYTON OSTEOPATHIC HOSPITAL
Authorized official
MRS. LYNDA PATTERSON CPHT (ADMIN. ASST. CREDENTIALING)
(937) 458-4934
Entity
Organization
Contact information
Practice address
3700 SOUTHERN BLVD STE 105, KETTERING, OH 45429-1226
(937) 281-3883
(937) 281-3879
Mailing address
4301 LYONS RD, MIAMISBURG, OH 45342-6446
(937) 458-4934
(937) 291-3879
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PMY022662150-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0194637
—
OH
01
—
2166255
PK
—
Enumeration date
11/23/2016
Last updated
02/12/2024
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