Healthcare Provider Details

I. General information

NPI: 1902408883
Provider Name (Legal Business Name): ANNE N OHUMAY BSC, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2020
Last Update Date: 11/15/2020
Certification Date: 11/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5870 KINGSTOWNE CTR
ALEXANDRIA VA
22315-5704
US

IV. Provider business mailing address

7135 ROCK RIDGE LN APT F
ALEXANDRIA VA
22315-5156
US

V. Phone/Fax

Practice location:
  • Phone: 703-313-8092
  • Fax: 703-313-4190
Mailing address:
  • Phone: 703-283-4264
  • Fax: 703-313-4190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202010608
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: