Provider Demographics
NPI:1104107408
Name:APPIAH, MICHAEL BERKO (PHARM D)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:BERKO
Last Name:APPIAH
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 1:4805 CEDAR CREST DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-7758
Mailing Address - Country:US
Mailing Address - Phone:469-734-7878
Mailing Address - Fax:
Practice Address - Street 1:4805 CEDAR CREST DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-7758
Practice Address - Country:US
Practice Address - Phone:469-734-7878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14660183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist