Evbuomwan, Faustina Niyemamwen
Evbuomwan, Faustina Niyemamwen is an individual health care provider with primary practice located at Pharmacy Department, Fdih Junction Of Rt12 & Rt 7, Fort Defiance AZ 86504. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Evbuomwan, Faustina Niyemamwen can be contacted via phone (928) 729-8328.Contact Information
Primary practice address
Pharmacy Department, Fdih Junction Of Rt12 & Rt 7
Fort Defiance AZ 86504
Phone: (928) 729-8328
Fax: (928) 729-8348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 14355 | Arizona |
Profile Details
| NPI number | 1043430614 |
|---|---|
| LBN Legal business name | Evbuomwan, Faustina Niyemamwen |
| Credentials | B.SC PHARM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043430614 | NPPES |
| Other | 313404259-1 | UNITED HEALTHCARE INSURAN |
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