Individual provider · NPI-1

Nelly Ngweh Ayen, PharmD

Pharmacist · Tyler, TX

NPI number1194320580
StatusActive
Last updated in NPPESDec 2, 2020

Details

NPI
1194320580
Entity type
Individual (NPI-1)
Name
Nelly Ngweh Ayen
Credential
PharmD
Sex
Female
Sole proprietor
No
Enumeration date
Dec 2, 2020
Certification date
Dec 2, 2020
Last updated
Dec 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist66113TXYes

Practice location

5012 Profit Dr
Tyler, TX 75707-1839

Phone 855-553-7200 · Fax 844-508-3367

Mailing address

5012 Profit Dr
Tyler, TX 75707-1839

Phone 214-406-1544

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