Provider Demographics
NPI:1316543416
Name:ACQUAH, EUNICE A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EUNICE
Middle Name:A
Last Name:ACQUAH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:591 MEMORIAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MASSACHUSETTS
Mailing Address - Zip Code:01020
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:591 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-5024
Practice Address - Country:US
Practice Address - Phone:413-593-6503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-05
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH27330183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist