Provider Demographics
NPI:1659648830
Name:MENSAH, BARBARA DANKWA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:DANKWA
Last Name:MENSAH
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 1:684 W FONTAINE LN
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-9143
Mailing Address - Country:US
Mailing Address - Phone:603-943-1599
Mailing Address - Fax:
Practice Address - Street 1:684 W FONTAINE LN
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93619-9143
Practice Address - Country:US
Practice Address - Phone:603-943-1599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63430C183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist