Provider Demographics
NPI:1801271424
Name:ACHEAMPONG, PATRICK O (RPH)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:O
Last Name:ACHEAMPONG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3433 AGLER RD
Mailing Address - Street 2:SUITE 1150
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3387
Mailing Address - Country:US
Mailing Address - Phone:614-476-6336
Mailing Address - Fax:614-476-6393
Practice Address - Street 1:3433 AGLER RD
Practice Address - Street 2:SUITE 1150
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-3387
Practice Address - Country:US
Practice Address - Phone:614-476-6336
Practice Address - Fax:614-476-6393
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03331569183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist