Provider Demographics
NPI:1518707132
Name:ASSIFUAH, MERCY (RPH)
Entity type:Individual
Prefix:
First Name:MERCY
Middle Name:
Last Name:ASSIFUAH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:MERCY
Other - Middle Name:
Other - Last Name:ASSIFUAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5661 OAKVIEW TER
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-2494
Mailing Address - Country:US
Mailing Address - Phone:513-692-0927
Mailing Address - Fax:
Practice Address - Street 1:5661 OAKVIEW TER
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45011-2494
Practice Address - Country:US
Practice Address - Phone:513-692-0927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03444216183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist