Provider Demographics
NPI:1033113394
Name:BUCHTA, ANTHONY JOHN SR (RPH MBA)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:JOHN
Last Name:BUCHTA
Suffix:SR
Gender:M
Credentials:RPH MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5625 N HIGH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-3964
Mailing Address - Country:US
Mailing Address - Phone:614-847-0109
Mailing Address - Fax:
Practice Address - Street 1:7870 OLENTANGY RIVER RD
Practice Address - Street 2:STE 202
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-1300
Practice Address - Country:US
Practice Address - Phone:614-847-0109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-17578183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist