Organization · NPI-2

Beavercreek Medical Center

Pharmacy, Community/Retail Pharmacy · Beavercreek, OH

NPI number1497029854
StatusActive
Last updated in NPPESJan 27, 2025

Details

NPI
1497029854
Entity type
Organization (NPI-2)
Legal business name
Beavercreek Medical Center
Organization subpart
Yes
Enumeration date
Mar 2, 2012
Certification date
Jan 27, 2025
Last updated
Jan 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy022185500OHYes
333600000X Pharmacy––

Other names

  • Kettering Health Pharmacy Soin (Doing Business As)

Practice location

3535 Pentagon Blvd
Beavercreek, OH 45431

Phone 937-458-4934 · Fax 937-702-4909

Mailing address

4301 Lyons Rd
Miamisburg, OH 45342-6446

Phone 937-458-4934 · Fax 937-522-7198

Authorized official

Kevin Blackburn
Director Of Pharmacy
9374584932

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacy, Community/Retail Pharmacy providers in Beavercreek, OH