Provider Demographics
NPI:1962152991
Name:EVANS-ANFOM, NAA AMARTEOKOR ARMAR
Entity type:Individual
Prefix:
First Name:NAA AMARTEOKOR
Middle Name:ARMAR
Last Name:EVANS-ANFOM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 CROSSING POINTE CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-3078
Mailing Address - Country:US
Mailing Address - Phone:301-846-8869
Mailing Address - Fax:
Practice Address - Street 1:101 CROSSING POINTE CT
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-3078
Practice Address - Country:US
Practice Address - Phone:301-846-8869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD113983336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy