Addo, Nana

Addo, Nana is an sole proprietor health care provider with primary practice located at 855 Hanes Mall Blvd , Winston Salem NC 27103-5526. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Addo, Nana can be contacted via phone (336) 768-2888.

Contact Information

Primary practice address
855 Hanes Mall Blvd Winston Salem NC 27103-5526
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 22062 North Carolina
Pharmacy Service Providers / Pharmacist 183500000X 0202211711 Virginia

Profile Details

NPI number 1467701128
LBN Legal business name Addo, Nana
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2012
Last updated Sep 9th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467701128 NPPES
Virginia Other 0202211711 VIRGINA BOARD OF PHARMACY LICENSE
Virginia Other 22062 VIRGINA BOARD OF PHARMACY LICENSE

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