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NPI Code Detail

MEDICARE: KWAME AIDOO OPOKU RPH

MEDICARE: KWAME AIDOO OPOKU 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
1183500000XPharmacist19981NV

General Provider Information

NPI Number : 1598377285
Entity Type Code : Individual
Provider Name (Legal Business Name) : KWAME AIDOO OPOKU RPH
Provider Business Mailing Address
First Line : 9824 MERCER ESTATES CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89141-8758
Country : US
Telephone Number : 702-481-7499
Fax Number :
Provider Business Practice Location Address
First Line : 4930 BLUE DIAMOND RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-7604
Country : US
Telephone Number : 702-260-9695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2020
Last Update Date : 08/23/2020

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Directions to “ KWAME AIDOO OPOKU RPH” Practice Location

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