Provider Demographics
NPI:1912751926
Name:DANSO, PRINCE AMOABENG
Entity Type:Individual
Prefix:DR
First Name:PRINCE
Middle Name:AMOABENG
Last Name:DANSO
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 1:1001 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TROTWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45426-2449
Mailing Address - Country:US
Mailing Address - Phone:937-854-4147
Mailing Address - Fax:937-854-2446
Practice Address - Street 1:1001 E MAIN ST
Practice Address - Street 2:
Practice Address - City:TROTWOOD
Practice Address - State:OH
Practice Address - Zip Code:45426-2449
Practice Address - Country:US
Practice Address - Phone:937-854-4147
Practice Address - Fax:937-854-2446
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03444053183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist