Provider Demographics
NPI:1740456110
Name:ASANTE, KWADWO SAKYI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KWADWO
Middle Name:SAKYI
Last Name:ASANTE
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 1:4110 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-1803
Mailing Address - Country:US
Mailing Address - Phone:404-294-6504
Mailing Address - Fax:404-299-5820
Practice Address - Street 1:4110 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-1803
Practice Address - Country:US
Practice Address - Phone:404-294-6504
Practice Address - Fax:404-299-5820
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH023329183500000X
CARPH 65113183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist