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NPI Code Detail

MEDICARE: DR. DENNIS BOATENG PHARM D

MEDICARE: DR. DENNIS BOATENG 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
1183500000XPharmacist0202208386VA
2183500000XPharmacistPCT.0011094CT

General Provider Information

NPI Number : 1922381243
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENNIS BOATENG PHARM D
Provider Business Mailing Address
First Line : 1840 CHESTWOOD DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-7017
Country : US
Telephone Number : 757-739-5857
Fax Number :
Provider Business Practice Location Address
First Line : 3376 VIRGINIA BEACH BLVD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-5620
Country : US
Telephone Number : 757-340-8013
Fax Number : 757-340-8154
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2011
Last Update Date : 09/22/2011

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Directions to “ DR. DENNIS BOATENG PHARM D” Practice Location

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