Provider Demographics
NPI:1902408883
Name:OHUMAY, ANNE N (BSC, RPH)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:N
Last Name:OHUMAY
Suffix:
Gender:F
Credentials:BSC, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7135 ROCK RIDGE LN APT F
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-5156
Mailing Address - Country:US
Mailing Address - Phone:703-283-4264
Mailing Address - Fax:703-313-4190
Practice Address - Street 1:5870 KINGSTOWNE CTR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-5704
Practice Address - Country:US
Practice Address - Phone:703-313-8092
Practice Address - Fax:703-313-4190
Is Sole Proprietor?:No
Enumeration Date:2020-11-15
Last Update Date:2020-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202010608183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist