Provider Demographics
NPI:1578979977
Name:BOATENG-OKYERE, ADELAIDE ANTWI (PHARMD)
Entity Type:Individual
Prefix:
First Name:ADELAIDE
Middle Name:ANTWI
Last Name:BOATENG-OKYERE
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 1:2 VILLAGE ROCK LN
Mailing Address - Street 2:UNIT 7
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-5719
Mailing Address - Country:US
Mailing Address - Phone:413-262-7547
Mailing Address - Fax:
Practice Address - Street 1:10 INDUSTRIAL AVE
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3610
Practice Address - Country:US
Practice Address - Phone:978-250-1018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-07
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH235179183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist