Provider Demographics
NPI:1467861617
Name:DANKWA, MAAME OWUSUA (PHARMD)
Entity Type:Individual
Prefix:
First Name:MAAME
Middle Name:OWUSUA
Last Name:DANKWA
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 1:3608 S LAFOUNTAIN ST
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-3809
Mailing Address - Country:US
Mailing Address - Phone:765-455-2191
Mailing Address - Fax:
Practice Address - Street 1:3608 S LAFOUNTAIN ST
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-3809
Practice Address - Country:US
Practice Address - Phone:765-455-2191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26025751A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist