Iheanyi Ahukanna

Individual provider Active NPI Pharmacist · East Greenwich, RI

NPI 1679976591 · NPPES record last updated Oct 6, 2014

Key facts

NPI
1679976591
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RPH05387 (RI)
Practice address
1000 Division Rd
East Greenwich, RI 02818-2078
Phone
(401) 884-0586
NPI assigned
Oct 6, 2014
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RPH05387RIMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH05387 RI Yes

Addresses

Primary practice location

1000 Division Rd
East Greenwich, RI 02818-2078

Mailing address

10 Dogwood Dr Apt 304
West Warwick, RI 02893-7540
Phone (973) 951-0170

Other providers in East Greenwich, RI

All providers in East Greenwich, RI · Pharmacist in Rhode Island

Sources for this page

Verify at the official NPI Registry.