Individual
BLENKELL ANTWI BAAH-WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
26 W INDEPENDENCE ST, SHAMOKIN, PA 17872-5314
(570) 648-1021
Mailing address
19B FRIEDEN MNR, SCHUYLKILL HAVEN, PA 17972-9507
(347) 636-3908
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP455020
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP455020
PHARMACIST
PA
01
—
RPI014319
IMMUNIZATION
PA
Enumeration date
06/24/2021
Last updated
06/24/2021
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