Provider Demographics
NPI:1396291795
Name:FORSEH, JOHN MONONO (PHARMD/MBA)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MONONO
Last Name:FORSEH
Suffix:
Gender:M
Credentials:PHARMD/MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2138 PHEASANT GLEN RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28214-8109
Mailing Address - Country:US
Mailing Address - Phone:404-642-5974
Mailing Address - Fax:980-225-0379
Practice Address - Street 1:2465 S NEW HOPE RD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-8433
Practice Address - Country:US
Practice Address - Phone:704-810-9912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-27
Last Update Date:2016-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26483183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist