Provider Demographics
NPI:1679895940
Name:OWUSU-AFRIYIE, ABISHAG ANAAFI (PHARMD)
Entity Type:Individual
Prefix:
First Name:ABISHAG
Middle Name:ANAAFI
Last Name:OWUSU-AFRIYIE
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 1:810 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-2809
Mailing Address - Country:US
Mailing Address - Phone:203-445-9171
Mailing Address - Fax:
Practice Address - Street 1:815 E INNES ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4625
Practice Address - Country:US
Practice Address - Phone:704-638-0764
Practice Address - Fax:704-638-2319
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-26
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0010098183500000X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist