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NPI Code Detail

MEDICARE: DR. YAW O ACHEAMPONG PHARMD

MEDICARE: DR. YAW O ACHEAMPONG 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
1183500000XPharmacistPS35155FL

General Provider Information

NPI Number : 1356500904
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YAW O ACHEAMPONG PHARMD
Provider Business Mailing Address
First Line : 624 WHISPER WOODS DR
Second Line :
City : LAKELAND
State : FL
Zip : 33813-5645
Country : US
Telephone Number : 863-607-4276
Fax Number : 863-607-4276
Provider Business Practice Location Address
First Line : 311 E MEMORIAL BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33801-1766
Country : US
Telephone Number : 863-688-1386
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2008
Last Update Date : 06/07/2008

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Directions to “ DR. YAW O ACHEAMPONG PHARMD” Practice Location

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