Frederick White Health Center

LBN: Wright State University Pharmacy
Frederick White Health Center is an health care organization with primary practice located at 3640 Colonel Glenn Hwy , Dayton OH 45435-0001. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Wright State University Pharmacy can be contacted via phone (937) 775-3414, or through Bale, John via phone (937) 775-3182.

Contact Information

Primary practice address
3640 Colonel Glenn Hwy Dayton OH 45435-0001
Phone: (937) 775-3414
Fax: (937) 775-2167
Website:
Map and Directions
Authorized official contact:
Name: Bale, John CPA
Phone: (937) 775-3182

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 020291500 Ohio

Profile Details

NPI number 1497829923
LBN Legal business name Wright State University Pharmacy
DBA Doing business as Frederick White Health Center
Authorized official Bale, John CPA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Dec 19th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497829923 NPPES
Ohio MEDICAID 00581651
Ohio Other 3641138

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