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NPI Code Detail

MEDICARE: DR. ZADKIEL ENTSUAH PHARMD

MEDICARE:  DR. ZADKIEL  ENTSUAH  PHARMD
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
1183500000XPharmacist80909CA

General Provider Information

NPI Number : 1275130312
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZADKIEL ENTSUAH PHARMD
Provider Business Mailing Address
First Line : 8614 W 3RD ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-3324
Country : US
Telephone Number : 310-860-9809
Fax Number : 310-860-9683
Provider Business Practice Location Address
First Line : 8614 W 3RD ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-3324
Country : US
Telephone Number : 310-860-9809
Fax Number : 310-860-9683
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2020
Last Update Date : 10/01/2020

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Directions to “ DR. ZADKIEL ENTSUAH PHARMD” Practice Location

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