Provider Demographics
NPI:1134759368
Name:BAH, CHERNOH MAJU (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHERNOH
Middle Name:MAJU
Last Name:BAH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7671 HUNTSMAN LN
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-1180
Mailing Address - Country:US
Mailing Address - Phone:513-646-4375
Mailing Address - Fax:
Practice Address - Street 1:5420 LIBERTY FAIRFIELD RD
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45011-2680
Practice Address - Country:US
Practice Address - Phone:513-785-7920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-15
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH031319501835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist