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NPI Code Detail

MEDICARE: KWAKU OWUSU MENSA PHARM

MEDICARE:   KWAKU OWUSU MENSA  PHARM
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
1183500000XPharmacist0024941CO

General Provider Information

NPI Number : 1194551325
Entity Type Code : Individual
Provider Name (Legal Business Name) : KWAKU OWUSU MENSA PHARM
Provider Business Mailing Address
First Line : 7705 S WINNIPEG ST APT 710
Second Line :
City : AURORA
State : CO
Zip : 80016-7479
Country : US
Telephone Number : 720-936-1934
Fax Number :
Provider Business Practice Location Address
First Line : 5990 DAHLIA ST
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-3708
Country : US
Telephone Number : 303-287-0909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2024
Last Update Date : 09/12/2024

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Directions to “ KWAKU OWUSU MENSA PHARM” Practice Location

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