Provider Demographics
NPI:1619597093
Name:BOACHIE, NAANA (PHARMD)
Entity Type:Individual
Prefix:
First Name:NAANA
Middle Name:
Last Name:BOACHIE
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 1:11 7TH AVE APT 5C
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07104-3303
Mailing Address - Country:US
Mailing Address - Phone:201-878-9854
Mailing Address - Fax:
Practice Address - Street 1:11 7TH AVE APT 5C
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07104-3303
Practice Address - Country:US
Practice Address - Phone:201-878-9854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-25
Last Update Date:2020-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program