Provider Demographics
NPI:1205695004
Name:TROTWOOD COMMUNITY PHARMACY LLC
Entity type:Organization
Organization Name:TROTWOOD COMMUNITY PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY OWNER
Authorized Official - Prefix:DR
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:937-259-8030
Mailing Address - Street 1:8934 KINGSRIDGE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-1633
Mailing Address - Country:US
Mailing Address - Phone:937-259-6030
Mailing Address - Fax:937-288-8032
Practice Address - Street 1:8934 KINGSRIDGE DR STE 101
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45458-1633
Practice Address - Country:US
Practice Address - Phone:937-259-6030
Practice Address - Fax:937-288-8032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-15
Last Update Date:2025-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0140721Medicaid