Provider Demographics
NPI:1609340322
Name:BEKOE, NANA ADWOA EFA (PHARM D)
Entity Type:Individual
Prefix:
First Name:NANA ADWOA
Middle Name:EFA
Last Name:BEKOE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 VILLAGE GREEN LN
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-1633
Mailing Address - Country:US
Mailing Address - Phone:215-806-7911
Mailing Address - Fax:
Practice Address - Street 1:202 KINGS HWY E
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-1905
Practice Address - Country:US
Practice Address - Phone:856-428-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03752500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist