MEDICARE: PETER KWABENA ADADE

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	45222	CA

General Provider Information

NPI Number	:	1932411501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER KWABENA ADADE

Provider Business Mailing Address
First Line	:	2555 MAIN ST
Second Line	:
City	:	OAKLEY
State	:	CA
Zip	:	94561-1853
Country	:	US
Telephone Number	:	925-625-7440
Fax Number	:	925-625-1303

Provider Business Practice Location Address
First Line	:	2555 MAIN ST
Second Line	:
City	:	OAKLEY
State	:	CA
Zip	:	94561-1853
Country	:	US
Telephone Number	:	925-625-7440
Fax Number	:	925-625-1303

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

Provider Enumeration Date	:	07/11/2010
Last Update Date	:	07/11/2010

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Directions to “ PETER KWABENA ADADE ” Practice Location

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