Healthcare Provider Details

I. General information

NPI: 1245194950
Provider Name (Legal Business Name): SAMANRHA DIDION
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 MICHIGAN ST
SIDNEY OH
45365-2449
US

IV. Provider business mailing address

1400 MICHIGAN ST
SIDNEY OH
45365-2449
US

V. Phone/Fax

Practice location:
  • Phone: 937-492-5340
  • Fax: 937-493-0491
Mailing address:
  • Phone: 937-492-5340
  • Fax: 937-493-0491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03446250
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: