Provider Demographics
NPI:1275862153
Name:OSEI-BONSU, KOFI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KOFI
Middle Name:
Last Name:OSEI-BONSU
Suffix:
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 1:2425 THOUSAND OAKS DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-3206
Mailing Address - Country:US
Mailing Address - Phone:210-402-2927
Mailing Address - Fax:210-402-2991
Practice Address - Street 1:2425 THOUSAND OAKS DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-3206
Practice Address - Country:US
Practice Address - Phone:210-402-2927
Practice Address - Fax:210-402-2991
Is Sole Proprietor?:No
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42703183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist