Healthcare Provider Details

I. General information

NPI: 1841113362
Provider Name (Legal Business Name): KEZIA AGYARE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 PLEASANT ST
DES MOINES IA
50309-1406
US

IV. Provider business mailing address

6455 GALLERIA DR APT 4403
WEST DES MOINES IA
50266-6753
US

V. Phone/Fax

Practice location:
  • Phone: 850-345-4741
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25592
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: