Healthcare Provider Details

I. General information

NPI: 1992993984
Provider Name (Legal Business Name): NAA A OKINE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NAA ATTOH

II. Dates (important events)

Enumeration Date: 10/04/2007
Last Update Date: 10/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 HICKORY RD STE 240
PLYMOUTH MEETING PA
19462-1047
US

IV. Provider business mailing address

17 GRISTMILL CT
WILMINGTON DE
19803-4900
US

V. Phone/Fax

Practice location:
  • Phone: 610-834-1122
  • Fax:
Mailing address:
  • Phone: 302-762-2031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP440916
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: