Provider Demographics
NPI:1174939185
Name:BUI, ANNAH (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:ANNAH
Middle Name:
Last Name:BUI
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 CROSSING CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6115
Mailing Address - Country:US
Mailing Address - Phone:614-571-4799
Mailing Address - Fax:
Practice Address - Street 1:2437 TAYLOR PARK DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-8036
Practice Address - Country:US
Practice Address - Phone:614-655-5002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2020-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03233828-2183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist