Individual
MR. DEREK OTENG BOATENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5515 WALDOS BEACH RD, FAYETTEVILLE, NC 28306-5505
(910) 491-1090
Mailing address
6 RED CEDAR LN, PINEHURST, NC 28374-6918
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20735
NC
Other
Enumeration date
11/11/2009
Last updated
02/09/2019
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