Provider Demographics
NPI:1699080275
Name:AFARI, NANA (RPH)
Entity type:Individual
Prefix:MR
First Name:NANA
Middle Name:
Last Name:AFARI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 SNELL HILL RD
Mailing Address - Street 2:
Mailing Address - City:TURNER
Mailing Address - State:ME
Mailing Address - Zip Code:04282-4400
Mailing Address - Country:US
Mailing Address - Phone:207-225-5146
Mailing Address - Fax:207-225-5170
Practice Address - Street 1:23 SNELL HILL RD
Practice Address - Street 2:
Practice Address - City:TURNER
Practice Address - State:ME
Practice Address - Zip Code:04282-4400
Practice Address - Country:US
Practice Address - Phone:207-225-5146
Practice Address - Fax:207-225-5170
Is Sole Proprietor?:No
Enumeration Date:2010-08-08
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR5550183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist