Cub Pharmacy 609
LBN: Dayton Mall Foods Llc
Cub Pharmacy 609 is an health care organization with primary practice located at 8245 Springboro Pike , Miamisburg OH 45342-6103. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Dayton Mall Foods Llc can be contacted via phone (937) 434-5778, or through Lofino, Mike via phone (937) 431-1662.
Contact Information
Primary practice address
8245 Springboro Pike
Miamisburg OH 45342-6103
Phone: (937) 434-5778
Fax: (937) 434-0545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | RTP020941000 | Ohio |
Profile Details
| NPI number | 1053487694 |
|---|---|
| LBN Legal business name | Dayton Mall Foods Llc |
| DBA Doing business as | Cub Pharmacy 609 |
| Authorized official | Lofino, Mike |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Apr 25th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053487694 | NPPES |
| Ohio | MEDICAID | 0271147 | |
| Ohio | Other | 3662459 |
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