MEDICARE: DR. KOFI OSEI-BONSU 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
1	183500000X	Pharmacist	42703	TX

General Provider Information

NPI Number	:	1275862153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KOFI OSEI-BONSU PHARMD

Provider Business Mailing Address
First Line	:	2425 THOUSAND OAKS DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-3206
Country	:	US
Telephone Number	:	210-402-2927
Fax Number	:	210-402-2991

Provider Business Practice Location Address
First Line	:	2425 THOUSAND OAKS DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-3206
Country	:	US
Telephone Number	:	210-402-2927
Fax Number	:	210-402-2991

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

Provider Enumeration Date	:	12/23/2009
Last Update Date	:	12/23/2009

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