Organization
THE ELDER BEERMAN STORES CORP
Active
Other names
ELDER BEERMAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE RAY (PHRMCY SUPERVISOR)
(937) 278-6341
Entity
Organization
Contact information
Practice address
2917 PHILADELPHIA DR, DAYTON, OH 45405-1913
(937) 278-6341
(937) 276-6192
Mailing address
2917 PHILADELPHIA DR, DAYTON, OH 45405-1913
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
OH
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0253363
—
OH
01
—
3621023
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
09/11/2025
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