Provider Demographics
NPI:1376861310
Name:PERRY NWOSU, SONYA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:
Last Name:PERRY NWOSU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 S MILL RD
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3042
Mailing Address - Country:US
Mailing Address - Phone:610-444-2332
Mailing Address - Fax:610-444-4576
Practice Address - Street 1:120 S MILL RD
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-3042
Practice Address - Country:US
Practice Address - Phone:610-444-5332
Practice Address - Fax:610-444-4576
Is Sole Proprietor?:No
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041606L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist