MEDICARE: KWABENA AGYEMANG SARKODIE

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	27555	MD

General Provider Information

NPI Number	:	1780290544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KWABENA AGYEMANG SARKODIE

Provider Business Mailing Address
First Line	:	11240 CHERRY HILL RD APT 101
Second Line	:
City	:	BELTSVILLE
State	:	MD
Zip	:	20705-3844
Country	:	US
Telephone Number	:	240-444-9894
Fax Number	:

Provider Business Practice Location Address
First Line	:	8201 OXON HILL RD
Second Line	:
City	:	FT WASHINGTON
State	:	MD
Zip	:	20744-4718
Country	:	US
Telephone Number	:	310-839-7211
Fax Number	:

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

Provider Enumeration Date	:	09/17/2020
Last Update Date	:	09/17/2020

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