Provider Demographics
NPI:1659661106
Name:AFRANIE, NANA KWADWO (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:NANA
Middle Name:KWADWO
Last Name:AFRANIE
Suffix:
Gender:M
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 1:725 GRAFTON ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-2365
Mailing Address - Country:US
Mailing Address - Phone:508-798-9394
Mailing Address - Fax:
Practice Address - Street 1:725 GRAFTON ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-2365
Practice Address - Country:US
Practice Address - Phone:508-798-9394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-17
Last Update Date:2011-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH26079183500000X
FLPS38699183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist