Emmanuel Mba Ezemba
Pharmacist in Salem, MA. Individual provider (NPI-1).
NPI number1083471817
StatusActive
Last updated in NPPESFeb 28, 2024
Details
- NPI
- 1083471817
- Entity type
- Individual (NPI-1)
- Name
- Emmanuel Mba Ezemba
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2024
- Certification date
- Feb 28, 2024
- Last updated
- Feb 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 997226 | MA | Yes |
Practice location
300 Canal StSalem, MA 01970-4558
Phone 978-740-2912
Mailing address
28 Acorn St Apt 2Lynn, MA 01902-3825
Phone 781-254-3966
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