Provider Demographics
NPI:1700274552
Name:KWATENG, OPPONG AGYARE (PHARM D)
Entity Type:Individual
Prefix:
First Name:OPPONG
Middle Name:AGYARE
Last Name:KWATENG
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6188 OXON HILL RD STE 400
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3154
Mailing Address - Country:US
Mailing Address - Phone:301-686-8411
Mailing Address - Fax:
Practice Address - Street 1:6188 OXON HILL RD STE 400
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3154
Practice Address - Country:US
Practice Address - Phone:301-686-8411
Practice Address - Fax:301-244-0811
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-02
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist