Provider Demographics
NPI:1689886426
Name:ASAMOAH, FELIX (BS)
Entity Type:Individual
Prefix:MR
First Name:FELIX
Middle Name:
Last Name:ASAMOAH
Suffix:
Gender:M
Credentials:BS
Other - Prefix:MRS
Other - First Name:NANA
Other - Middle Name:Y
Other - Last Name:ASAMOAH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:134 BETSY RAWLS DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709
Mailing Address - Country:US
Mailing Address - Phone:302-379-6773
Mailing Address - Fax:
Practice Address - Street 1:1574 N DUPONT HWY
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901
Practice Address - Country:US
Practice Address - Phone:302-674-4827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003348183500000X
NJ28RI02592300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist