MEDICARE: MR. JULIUS BEN-ACQUAAH 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	PS34975	FL

General Provider Information

NPI Number	:	1750388344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JULIUS BEN-ACQUAAH PHARMD

Provider Business Mailing Address
First Line	:	9207 MILL CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2821
Country	:	US
Telephone Number	:	813-885-4000
Fax Number	:	813-885-4008

Provider Business Practice Location Address
First Line	:	8802 ROCKY CREEK DR STE 101
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-4315
Country	:	US
Telephone Number	:	813-885-4000
Fax Number	:	813-885-4008

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

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	10/03/2019

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