Provider Demographics
NPI:1447403373
Name:GYAMFI, NANAAMA (PHARMD)
Entity Type:Individual
Prefix:
First Name:NANAAMA
Middle Name:
Last Name:GYAMFI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5616 TROY VILLA BLVD
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-2646
Mailing Address - Country:US
Mailing Address - Phone:937-237-1601
Mailing Address - Fax:
Practice Address - Street 1:10 W NATIONAL RD
Practice Address - Street 2:
Practice Address - City:VANDALIA
Practice Address - State:OH
Practice Address - Zip Code:45377-1933
Practice Address - Country:US
Practice Address - Phone:937-898-8829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03326635183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist