Healthcare Provider Details

I. General information

NPI: 1508973090
Provider Name (Legal Business Name): JOSEPH BAAFI ATUAH PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 09/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 POLY PL PHARMACY DEPT
BROOKLYN NY
11209-7104
US

IV. Provider business mailing address

5414 AVE O
BROOKLYN NY
11234
US

V. Phone/Fax

Practice location:
  • Phone: 718-836-6600
  • Fax:
Mailing address:
  • Phone: 718-473-7646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number038400-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number38100-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number38400-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: