Provider Demographics
NPI:1932498771
Name:PREMPEH, FRANK OKYERE
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:OKYERE
Last Name:PREMPEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 RAMSEY CT
Mailing Address - Street 2:APT# 304
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-2058
Mailing Address - Country:US
Mailing Address - Phone:410-603-5905
Mailing Address - Fax:
Practice Address - Street 1:505 LINDEN AVE
Practice Address - Street 2:
Practice Address - City:POCOMOKE CITY
Practice Address - State:MD
Practice Address - Zip Code:21851-1133
Practice Address - Country:US
Practice Address - Phone:410-957-2311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19661183500000X
FLPS46164183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist