Provider Demographics
NPI:1891344123
Name:KWARTENG, ERIC NYAME (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:NYAME
Last Name:KWARTENG
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 1:33 ROCKY HILL RD
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-4829
Mailing Address - Country:US
Mailing Address - Phone:571-594-0708
Mailing Address - Fax:
Practice Address - Street 1:66 HIGH RIDGE RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-3807
Practice Address - Country:US
Practice Address - Phone:203-541-3972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0014667183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist