Organization
DAYTON CHILDREN'S HOSPITAL
Active
Other names
The Children's Medical Center Pharmacy, Dayton Children's Hospital Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS BERGMAN (CFO)
(937) 641-5500
Entity
Organization
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-5500
(937) 641-4451
Mailing address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-5500
(937) 641-4451
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0799999
—
OH
01
—
3609712
NABP
OH
Enumeration date
11/17/2006
Last updated
03/07/2023
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