Provider Demographics
NPI:1841746831
Name:SACKEY, SEQUINCE BAKER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SEQUINCE
Middle Name:BAKER
Last Name:SACKEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:SEQUINCE
Other - Middle Name:NAVETTE
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:UNIT 3690
Mailing Address - Street 2:52 MDG
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09126
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UNIT 3690
Practice Address - Street 2:52 MDG
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09126
Practice Address - Country:US
Practice Address - Phone:314-452-8157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-30
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL19485183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist