Provider Demographics
NPI:1396341590
Name:AFRIFA, AMANING KWARTEN
Entity type:Individual
Prefix:
First Name:AMANING
Middle Name:KWARTEN
Last Name:AFRIFA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13600 US HIGHWAY 29
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:VA
Mailing Address - Zip Code:24531-3064
Mailing Address - Country:US
Mailing Address - Phone:434-432-0951
Mailing Address - Fax:
Practice Address - Street 1:13600 US HIGHWAY 29
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:VA
Practice Address - Zip Code:24531-3064
Practice Address - Country:US
Practice Address - Phone:434-432-0951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202204920183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist