Provider Demographics
NPI:1386057263
Name:OPOKU-GYEBI, NANCY (PHARMD, MPA)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:OPOKU-GYEBI
Suffix:
Gender:F
Credentials:PHARMD, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4957 CARLISLE PIKE
Mailing Address - Street 2:PHARMACY
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-3025
Mailing Address - Country:US
Mailing Address - Phone:717-975-0117
Mailing Address - Fax:
Practice Address - Street 1:4957 CARLISLE PIKE
Practice Address - Street 2:PHARMACY
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-3025
Practice Address - Country:US
Practice Address - Phone:717-975-0117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP447059183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist