Healthcare Provider Details

I. General information

NPI: 1073925780
Provider Name (Legal Business Name): ANDREWS MENSAH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2014
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2902 FORESTVILLE RD
RALEIGH NC
27616-8774
US

IV. Provider business mailing address

317 PLOTT HOUND LN APT SUITE
WAKE FOREST NC
27587-6558
US

V. Phone/Fax

Practice location:
  • Phone: 919-266-6418
  • Fax:
Mailing address:
  • Phone: 704-712-2855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23421
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: