MEDICARE: KINGSFORD ASARE

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	1835P1200X	Pharmacotherapy Pharmacist	03330829	OH

General Provider Information

NPI Number	:	1033547211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KINGSFORD ASARE

Provider Business Mailing Address
First Line	:	8344 SEA MIST CT
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-9252
Country	:	US
Telephone Number	:	614-377-9727
Fax Number	:

Provider Business Practice Location Address
First Line	:	8344 SEA MIST CT
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-9252
Country	:	US
Telephone Number	:	614-377-9727
Fax Number	:

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

Provider Enumeration Date	:	10/24/2013
Last Update Date	:	10/24/2013

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Directions to “ KINGSFORD ASARE ” Practice Location

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