Individual
KWESI AGYARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10295 WV-152, WAYNE, WV 25570
(202) 716-8150
Mailing address
10295 WV-152, WAYNE, WV 25570
(202) 716-8150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0009301
WV
Other
Enumeration date
03/30/2016
Last updated
06/14/2016
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