Provider Demographics
NPI:1467026203
Name:SARSAH, SAKYI KOBINA (PHARMD)
Entity Type:Individual
Prefix:
First Name:SAKYI
Middle Name:KOBINA
Last Name:SARSAH
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 1:11200 MARTIN LUTHER KING BLVD E STE 103
Mailing Address - Street 2:
Mailing Address - City:SEFFNER
Mailing Address - State:FL
Mailing Address - Zip Code:33584-8351
Mailing Address - Country:US
Mailing Address - Phone:813-900-7778
Mailing Address - Fax:813-235-4726
Practice Address - Street 1:11200 MARTIN LUTHER KING BLVD E STE 103
Practice Address - Street 2:
Practice Address - City:SEFFNER
Practice Address - State:FL
Practice Address - Zip Code:33584-8351
Practice Address - Country:US
Practice Address - Phone:813-900-7778
Practice Address - Fax:813-235-4726
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS50949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist