Individual
AMBER NICHOLE NGAWANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 INDEPENDENCE BLDG 1100, COLUMBUS, MS 39710-5300
(622) 434-1611
Mailing address
201 INDEPENDENCE BLDG 1100, COLUMBUS, MS 39710-5300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218710
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202218710
PHARMACIST
VA
Enumeration date
12/01/2020
Last updated
08/18/2025
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