Provider Demographics
NPI:1760124408
Name:WASHBURN, VERONICA (RPH)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:WASHBURN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1970 LIMETREE CT
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-1509
Mailing Address - Country:US
Mailing Address - Phone:614-363-0565
Mailing Address - Fax:614-272-7011
Practice Address - Street 1:699 HARRISBURG PIKE STE L
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-2141
Practice Address - Country:US
Practice Address - Phone:614-272-7000
Practice Address - Fax:614-272-7011
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH034417421835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist