Provider Demographics
NPI:1851054639
Name:OWUSU, AMMA FREMPOMAA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMMA
Middle Name:FREMPOMAA
Last Name:OWUSU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:AMMA
Other - Middle Name:FREMPOMAA
Other - Last Name:DONKOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2501 75TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-2854
Mailing Address - Country:US
Mailing Address - Phone:630-910-6142
Mailing Address - Fax:630-910-3687
Practice Address - Street 1:2501 75TH ST
Practice Address - Street 2:
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-2854
Practice Address - Country:US
Practice Address - Phone:630-910-6142
Practice Address - Fax:630-910-3687
Is Sole Proprietor?:No
Enumeration Date:2021-10-18
Last Update Date:2022-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.3043171835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist