Healthcare Provider Details

I. General information

NPI: 1679895940
Provider Name (Legal Business Name): ABISHAG ANAAFI OWUSU-AFRIYIE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2010
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 E INNES ST
SALISBURY NC
28144-4625
US

IV. Provider business mailing address

810 MAIN ST
MONROE CT
06468-2809
US

V. Phone/Fax

Practice location:
  • Phone: 704-638-0764
  • Fax: 704-638-2319
Mailing address:
  • Phone: 203-445-9171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0010098
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: