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Contact Information

GREATER DAYTON CANCER CENTER PHARMACY
3120 GOVERNORS PLACE BLVD
KETTERING, OH45409-1328
 Phone: 937-528-0334
 Fax: 937-528-0472
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GREATER DAYTON CANCER CENTER PHARMACY

NPI # 1568686087
LBN Legal business name GREATER DAYTON CANCER CENTER PHARMACY
Authorized official THOMAS RHONE - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2007
Last updated 03/13/2009 - About 17 years ago
Identifiers
OH License # 021363050
OH Medicaid 0999960
OH Medicaid 2422266
Other 3671484 OTHER ID 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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