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NPI Code Detail

MEDICARE: MRS. TRACY SENYO ESSUAH-MENSAH PHARM.D

MEDICARE: MRS. TRACY SENYO ESSUAH-MENSAH PHARM.D
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
1183500000XPharmacist26522MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
126522OTHERMDMARYLAND BOARD OF PHARMACY

General Provider Information

NPI Number : 1417561234
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TRACY SENYO ESSUAH-MENSAH PHARM.D
Provider Business Mailing Address
First Line : 8713 FAIRHAVEN PL
Second Line :
City : JESSUP
State : MD
Zip : 20794-9341
Country : US
Telephone Number : 240-482-9721
Fax Number :
Provider Business Practice Location Address
First Line : 8501 FORT SMALLWOOD RD
Second Line :
City : PASADENA
State : MD
Zip : 21122-2607
Country : US
Telephone Number : 240-482-9721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2020
Last Update Date : 08/31/2020

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