Provider Demographics
NPI:1598443814
Name:BUSH, NATALIE (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:BUSH
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 1:4711 OURAY CT
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-7403
Mailing Address - Country:US
Mailing Address - Phone:513-889-8273
Mailing Address - Fax:
Practice Address - Street 1:12164 LEBANON RD
Practice Address - Street 2:
Practice Address - City:SHARONVILLE
Practice Address - State:OH
Practice Address - Zip Code:45241-1799
Practice Address - Country:US
Practice Address - Phone:513-733-4945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03443184183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist