Provider Demographics
NPI:1134561475
Name:DUSH, AARON
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:DUSH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 OLENTANGY RIVER RD
Mailing Address - Street 2:SUITE 2121
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-3117
Mailing Address - Country:US
Mailing Address - Phone:614-366-9319
Mailing Address - Fax:614-366-2100
Practice Address - Street 1:1145 OLENTANGY RIVER RD
Practice Address - Street 2:SUITE 2121
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3117
Practice Address - Country:US
Practice Address - Phone:614-366-9319
Practice Address - Fax:614-366-2100
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-29
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03127552183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist