Individual
YAW BOATENG ANANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3296 VILLAGE DR, FAYETTEVILLE, NC 28304-3817
(910) 433-4681
Mailing address
6455 HIDDEN LAKE LOOP, APT 133, FAYETTEVILLE, NC 28304-0393
(559) 375-9806
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
23665
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23665
PHARMACIST LICENSE
NC
Enumeration date
07/25/2013
Last updated
07/25/2013
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