Provider Demographics
NPI:1518135094
Name:OWUSU, FELICIA (RPH)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:OWUSU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 MALLARD WAY
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-6102
Mailing Address - Country:US
Mailing Address - Phone:302-449-5399
Mailing Address - Fax:
Practice Address - Street 1:100 COLLEGE SQ
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-5447
Practice Address - Country:US
Practice Address - Phone:302-737-0393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-18
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist