Healthcare Provider Details

I. General information

NPI: 1750209144
Provider Name (Legal Business Name): JEMIMA ASARE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 PARK AVE
WORCESTER MA
01610-1021
US

IV. Provider business mailing address

320 PARK AVE
WORCESTER MA
01610-1021
US

V. Phone/Fax

Practice location:
  • Phone: 508-767-1732
  • Fax: 508-767-0694
Mailing address:
  • Phone: 508-767-1732
  • Fax: 508-767-0694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH1002793
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: