Provider Demographics
NPI:1093961500
Name:INYANG, INYANG CLEMENT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:INYANG
Middle Name:CLEMENT
Last Name:INYANG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6350 GREENE ST APT 306
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-2527
Mailing Address - Country:US
Mailing Address - Phone:215-848-1208
Mailing Address - Fax:
Practice Address - Street 1:4616 NORTH BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140
Practice Address - Country:US
Practice Address - Phone:215-329-4840
Practice Address - Fax:215-329-3596
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440839183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist