MEDICARE: MR. ANTHONY JOHN BUCHTA SR. R.PH. MBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03-1-17578	OH

General Provider Information

NPI Number	:	1033113394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANTHONY JOHN BUCHTA SR. R.PH. MBA

Provider Business Mailing Address
First Line	:	5625 N HIGH ST STE 1
Second Line	:
City	:	WORTHINGTON
State	:	OH
Zip	:	43085-3964
Country	:	US
Telephone Number	:	614-847-0109
Fax Number	:

Provider Business Practice Location Address
First Line	:	7870 OLENTANGY RIVER RD
Second Line	:	STE 202
City	:	COLUMBUS
State	:	OH
Zip	:	43235-1300
Country	:	US
Telephone Number	:	614-847-0109
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	04/29/2020

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