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NPI Code Detail

MEDICARE: MR. EDWARD KENSAH PHARMD

MEDICARE: MR. EDWARD KENSAH PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0011841CT

General Provider Information

NPI Number : 1215275813
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EDWARD KENSAH PHARMD
Provider Business Mailing Address
First Line : 1291 ALBANY AVE
Second Line :
City : HARTFORD
State : CT
Zip : 06112-2198
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1291 ALBANY AVE
Second Line :
City : HARTFORD
State : CT
Zip : 06112-2198
Country : US
Telephone Number : 860-560-1881
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2013
Last Update Date : 01/17/2013

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