DR. Nicholas Kwame Asiedu Boafo

NPI #1184349961 in Brandon, Mississippi

Provider Information

NPI Number: 1184349961
Entity Type: Individual
Name: DR. Nicholas Kwame Asiedu Boafo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 5, 2022
Last Updated: Oct 5, 2022

Practice Location

Address: 112 STRIBLING LN
City: Brandon
State: Mississippi
ZIP Code: 39042-6600
Phone: (601) 664-7201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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