Provider Demographics
NPI:1417558388
Name:TWUMASI, MARX A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARX
Middle Name:A
Last Name:TWUMASI
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 1:41 FOXTRAIL RD
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-3978
Mailing Address - Country:US
Mailing Address - Phone:732-877-9482
Mailing Address - Fax:
Practice Address - Street 1:41 FOXTRAIL RD
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-3978
Practice Address - Country:US
Practice Address - Phone:732-877-9482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA100046961835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist