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Contact Information

WRIGHT STATE UNIVERSITY PHARMACY
3640 COLONEL GLENN HWY
DAYTON, OH45435-0001
 Phone: 937-775-3414
 Fax: 937-775-2167
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WRIGHT STATE UNIVERSITY PHARMACY

NPI Number 1497829923
LBN Legal business name WRIGHT STATE UNIVERSITY PHARMACY
Authorized official JOHN BALE - (ASSOC DEAN)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2006
Last updated 12/19/2009 - About 16 years ago
Identifiers
OH License # 020291500
OH Medicaid 00581651
Other 3641138 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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