Provider Demographics
NPI:1720515521
Name:MENCHES, ANTHONY (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:MENCHES
Suffix:
Gender:M
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 1:620 NORTON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-3214
Mailing Address - Country:US
Mailing Address - Phone:614-699-5530
Mailing Address - Fax:614-699-5531
Practice Address - Street 1:620 NORTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-3214
Practice Address - Country:US
Practice Address - Phone:614-699-5530
Practice Address - Fax:614-699-5531
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03330946183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist