Provider Demographics
NPI:1487149902
Name:OWUSU-AMANKWAH, EMMANUEL (PHARMD)
Entity type:Individual
Prefix:
First Name:EMMANUEL
Middle Name:
Last Name:OWUSU-AMANKWAH
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 1:300 ALUMNI DR APT 240
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1649
Mailing Address - Country:US
Mailing Address - Phone:413-695-6746
Mailing Address - Fax:
Practice Address - Street 1:740 S LIMESTONE ROOM K-135
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-323-5855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY019677183500000X
OH03337692183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist