MEDICARE: DR. GEORGE ANTWI 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	45522	TX

General Provider Information

NPI Number	:	1942538186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE ANTWI PHARMD

Provider Business Mailing Address
First Line	:	21127 BREEZY SHORE LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-5252
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7102 FM 1464 RD
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-6429
Country	:	US
Telephone Number	:	281-494-1984
Fax Number	:

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

Provider Enumeration Date	:	11/30/2009
Last Update Date	:	11/30/2009

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