Provider Demographics
NPI:1235773433
Name:OBENG-AYARKWAH, ANDREWS JR (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANDREWS
Middle Name:
Last Name:OBENG-AYARKWAH
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 W 21ST ST APT 7X
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-2558
Mailing Address - Country:US
Mailing Address - Phone:347-208-8340
Mailing Address - Fax:
Practice Address - Street 1:11 ASHFORD AVE
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1822
Practice Address - Country:US
Practice Address - Phone:914-478-0357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY066077183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist