Provider Demographics
NPI:1760992358
Name:KAMAU, NANCY WANJIRU (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:WANJIRU
Last Name:KAMAU
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42B PEARL STREET
Mailing Address - Street 2:
Mailing Address - City:LAW
Mailing Address - State:MA
Mailing Address - Zip Code:01841
Mailing Address - Country:US
Mailing Address - Phone:617-669-0479
Mailing Address - Fax:
Practice Address - Street 1:628 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:NH
Practice Address - Zip Code:03874-4213
Practice Address - Country:US
Practice Address - Phone:603-474-9511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-09
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4284183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH4284OtherPHARMACIST
NH812124622Medicaid