Individual
BENONI QUANSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
42084 RT 28, MARGARETVILLE, NY 12455-2820
(845) 586-2638
Mailing address
42084 RT 28, MARGARETVILLE, NY 12455-2820
(845) 586-2638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
065403
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065403
NEW YORK STATE BOARD OF PROFESSIONAL EDUCATION
NY
Enumeration date
09/14/2020
Last updated
09/14/2020
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