Provider Demographics
NPI:1427653492
Name:LAMPTEY, EMMANUEL LANQUAYE (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:EMMANUEL
Middle Name:LANQUAYE
Last Name:LAMPTEY
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 FRONT ST # 102
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1446
Mailing Address - Country:US
Mailing Address - Phone:508-752-6001
Mailing Address - Fax:508-792-6770
Practice Address - Street 1:110 FRONT ST # 102
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1446
Practice Address - Country:US
Practice Address - Phone:508-752-6001
Practice Address - Fax:508-792-6770
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA250703336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy