Individual
DR. BRIGHT KOMLA EDEM KOFI-NYARKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1150 NE 26TH ST, WILTON MANORS, FL 33305-1245
(954) 566-7474
Mailing address
3011 W SIGNATURE DR APT 205, DAVIE, FL 33314-6455
(240) 468-3622
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS48754
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS48754
FLORIDA BOARD OF PHARMACY
FL
Enumeration date
11/24/2020
Last updated
11/24/2020
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