Fossouo, Vanessa E.

Fossouo, Vanessa E. is an sole proprietor health care provider with primary practice located at 150 S Huntington Ave , Jamaica Plain MA 02130-4817. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Fossouo, Vanessa E. can be contacted via phone (617) 232-9500.

Contact Information

Primary practice address
150 S Huntington Ave Jamaica Plain MA 02130-4817
Phone: (617) 232-9500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 27489 Massachusetts
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 27489 Massachusetts

Profile Details

NPI number 1619128519
LBN Legal business name Fossouo, Vanessa E.
Credentials PHARM.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2008
Last updated Apr 19th, 2016 - about 8 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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