Adu, Ebenezer

Adu, Ebenezer is an individual health care provider with primary practice located at 2233 W Us Highway 90 , Lake City FL 32055-4761. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Adu, Ebenezer can be contacted via phone (352) 235-5310.

Contact Information

Primary practice address
2233 W Us Highway 90 Lake City FL 32055-4761
Phone: (352) 235-5310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS44378 Florida

Profile Details

NPI number 1124518659
LBN Legal business name Adu, Ebenezer
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2018
Last updated May 10th, 2018 - about 7 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 1124518659 NPPES
Florida Other PS44378 FLORIDA BOARD OF PHARMACY

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