Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PRYDE MANGA FONBAH, RPH
Deactivated Sole ProprietorMR. PRYDE MANGA FONBAH, RPH is a Pharmacist healthcare provider located in UKIAH, California. NPI 1922239623 is deactivated in the NPPES registry. Verify at CMS.
Pharmacist · UKIAH, CA
This NPI has been deactivated.
The record was deactivated on November 18, 2014.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1922239623
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2009 (5.3068493150685 yrs)
- Last Updated
- Feb 23, 2016
- Deactivated
- Nov 18, 2014
- License
-
47835 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
155 S. ORCHARD AVEUKIAH, CA, 95182Browse CA providers · Browse ZIP 95182
- Phone
- 7074629751
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in UKIAH, CA
| Name | Credential | NPI |
|---|---|---|
| SUSAN ANN REED | RPH | 1730266412 |
| GARY WAKEMAN | RPH | 1144390071 |
| ERYN WHITAKER | PHARMD | 1447562624 |
| DR. MARTHA S MAZUR-LANE | PHARM D. | 1497069264 |
| MS. TAMMY TAM YAU | RPH | 1013215920 |
| MR. KISOO OH | PHARM D | 1144510199 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.