REVENTION MEDICINE NPI 1306383153

NPI Information

REVENTION MEDICINE is a non pharmacy dispensing site in Dayton, OH. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) REVENTION MEDICINE NPI is 1306383153. The provider is registered as an organization entity type.

The provider's business location address is:

5900 N MAIN ST
DAYTON, OH
ZIP 45415-150
Phone: (937) 681-9507

The provider's authorized official is Charles Misja .
The authorized official title is Owner and has the following contact phone number (937) 681-9507.

The enumeration date for this NPI number is 1/31/2017 and was last updated on 1/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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