MEDICARE: MAXWELL MAXWELL BOATENG

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	034265	OH

General Provider Information

NPI Number	:	1588597645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAXWELL MAXWELL BOATENG

Provider Business Mailing Address
First Line	:	114 WAGNALLS CT
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-1479
Country	:	US
Telephone Number	:	614-598-4425
Fax Number	:

Provider Business Practice Location Address
First Line	:	114 WAGNALLS CT
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-1479
Country	:	US
Telephone Number	:	614-863-2000
Fax Number	:

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

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ MAXWELL MAXWELL BOATENG ” Practice Location

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