Provider Demographics
NPI:1518349257
Name:NGANGA, DANSON
Entity Type:Individual
Prefix:
First Name:DANSON
Middle Name:
Last Name:NGANGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4030 ANNAS RETREAT
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-2221
Mailing Address - Country:US
Mailing Address - Phone:340-777-9255
Mailing Address - Fax:340-777-9262
Practice Address - Street 1:4030 ANNAS RETREAT
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2221
Practice Address - Country:US
Practice Address - Phone:340-777-9255
Practice Address - Fax:340-777-9262
Is Sole Proprietor?:No
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI331183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist