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Contact Information

DAYTON MALL FOODS LLC
8245 SPRINGBORO PIKE
MIAMISBURG, OH45342-6103
 Phone: 937-434-5778
 Fax: 937-434-0545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DAYTON MALL FOODS LLC

NPI # 1053487694
LBN Legal business name DAYTON MALL FOODS LLC
Authorized official MIKE LOFINO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/27/2006
Last updated 04/25/2012 - About 14 years ago
Identifiers
OH License # RTP020941000
OH Medicaid 0271147
Other 3662459 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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