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NPI Code Detail

MEDICARE: RICHARD KWABENG

MEDICARE: RICHARD KWABENG
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
1183500000XPharmacistA1-0004687DE

General Provider Information

NPI Number : 1184026775
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD KWABENG
Provider Business Mailing Address
First Line : 24 FAIRWAY RD
Second Line : APT 2A
City : NEWARK
State : DE
Zip : 19711-5643
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2012 BRACKENVILLE RD
Second Line :
City : HOCKESSIN
State : DE
Zip : 19707-9568
Country : US
Telephone Number : 302-738-6333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2014
Last Update Date : 09/25/2014

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Directions to “ RICHARD KWABENG ” Practice Location

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