Provider Demographics
NPI:1437669686
Name:ALAMBA, FREDERICK NNAEMEKA (PHARMD, MBA, RPH)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:NNAEMEKA
Last Name:ALAMBA
Suffix:
Gender:M
Credentials:PHARMD, MBA, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-4011
Mailing Address - Country:US
Mailing Address - Phone:774-517-5528
Mailing Address - Fax:774-517-5568
Practice Address - Street 1:90 MAIN ST UNIT A
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-4011
Practice Address - Country:US
Practice Address - Phone:774-517-5528
Practice Address - Fax:774-517-5568
Is Sole Proprietor?:No
Enumeration Date:2017-10-02
Last Update Date:2019-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH237715183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist