Provider Demographics
NPI:1205695004
Name:TROTWOOD COMMUNITY PHARMACY LLC
Entity type:Organization
Organization Name:TROTWOOD COMMUNITY PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASOMANI-AMOAH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM-D
Authorized Official - Phone:937-568-6811
Mailing Address - Street 1:1 STRADER DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:TROTWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45426-3348
Mailing Address - Country:US
Mailing Address - Phone:937-240-4949
Mailing Address - Fax:
Practice Address - Street 1:1 STRADER DR UNIT B
Practice Address - Street 2:
Practice Address - City:TROTWOOD
Practice Address - State:OH
Practice Address - Zip Code:45426-3348
Practice Address - Country:US
Practice Address - Phone:937-240-4949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy