Provider Demographics
NPI:1477182830
Name:AGYEMAN, CYNTHIA DROWAA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:DROWAA
Last Name:AGYEMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:TETTEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:22 WINDSOR AVE
Mailing Address - Street 2:
Mailing Address - City:VERNON ROCKVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06066-2439
Mailing Address - Country:US
Mailing Address - Phone:860-870-6765
Mailing Address - Fax:
Practice Address - Street 1:22 WINDSOR AVE
Practice Address - Street 2:
Practice Address - City:VERNON ROCKVILLE
Practice Address - State:CT
Practice Address - Zip Code:06066-2439
Practice Address - Country:US
Practice Address - Phone:860-870-6765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT14461183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist