MEDICARE: MICHELLE BOATENG PHARMD, RPH

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
1	183500000X	Pharmacist	28RI04478800	NJ

General Provider Information

NPI Number	:	1356295422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE BOATENG PHARMD, RPH

Provider Business Mailing Address
First Line	:	900 N 9TH ST APT 638
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19123-1229
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	29 NEW JERSEY AVE # 31
Second Line	:
City	:	FLEMINGTON
State	:	NJ
Zip	:	08822-1218
Country	:	US
Telephone Number	:	908-237-0244
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	02/24/2026

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