Healthcare Provider Details

I. General information

NPI: 1548695018
Provider Name (Legal Business Name): AMY E TUTEN PHARMD BCOP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2013
Last Update Date: 09/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 W 10TH AVE JAMES PHARMACY 309
COLUMBUS OH
43210-1240
US

IV. Provider business mailing address

5275 ARYSHIRE DR
DUBLIN OH
43017-8213
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-6835
  • Fax:
Mailing address:
  • Phone: 614-560-3124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number031296461
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: