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Individual
DR. NANA ADDO
Active
Individual
DR. NANA ADDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202211711
VA
183500000X
Pharmacist
Primary
22062
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202211711
VIRGINA BOARD OF PHARMACY LICENSE
VA
01
—
22062
NC BOARD OF PHARMACY LICENSE
NC
Enumeration date
09/09/2012
Last updated
09/09/2012
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