Provider Demographics
NPI:1518220128
Name:ABBEY, TAMUNOSA BEATRICE (PHARMD)
Entity Type:Individual
Prefix:
First Name:TAMUNOSA
Middle Name:BEATRICE
Last Name:ABBEY
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 1:601 E KING ST
Mailing Address - Street 2:
Mailing Address - City:KINGS MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28086-3113
Mailing Address - Country:US
Mailing Address - Phone:704-739-9771
Mailing Address - Fax:
Practice Address - Street 1:601 E KING ST
Practice Address - Street 2:
Practice Address - City:KINGS MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28086-3113
Practice Address - Country:US
Practice Address - Phone:704-739-9771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22431183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist