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Individual

CHARLES BOAMAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
10925 BRECKENRIDGE DR, SAN DIEGO, CA 92131-6121
(858) 368-9943
Mailing address
10925 BRECKENRIDGE DR, SAN DIEGO, CA 92131-6121
(858) 368-9943

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51511
CA
1835G0303X
Geriatric Pharmacist
51511
CA
1835P1200X
Pharmacotherapy Pharmacist
51511
CA
1835X0200X
Oncology Pharmacist
51511
CA

Other

Enumeration date
06/05/2013
Last updated
06/05/2013
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