Provider Demographics
NPI:1376909630
Name:DONKOR, ABIGAIL
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:DONKOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 RIVERS EDGE
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2585
Mailing Address - Country:US
Mailing Address - Phone:513-831-5167
Mailing Address - Fax:513-239-1450
Practice Address - Street 1:100 RIVERS EDGE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-2585
Practice Address - Country:US
Practice Address - Phone:513-831-5167
Practice Address - Fax:513-239-1450
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03335142183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist