Individual
DIVINE AFESE FORTEH NGOCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
11430 N TRYON ST, CHARLOTTE, NC 28262-0405
(704) 717-3276
Mailing address
2505 GREENES LN, POWDER SPRINGS, GA 30127-3719
(770) 873-6964
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33597
NC
Other
Enumeration date
03/25/2025
Last updated
10/26/2025
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