Provider Demographics
NPI:1679247027
Name:KUFOUR, CALEB OSEI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CALEB
Middle Name:OSEI
Last Name:KUFOUR
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 1:580 HUNTERS GREEN CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-2921
Mailing Address - Country:US
Mailing Address - Phone:413-281-2805
Mailing Address - Fax:
Practice Address - Street 1:2001 HARRODSBURG RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3503
Practice Address - Country:US
Practice Address - Phone:859-278-9911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-08
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY021745183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist