Provider Demographics
NPI:1962791319
Name:ASAMOAH-BARNIEH, RALPH
Entity type:Individual
Prefix:
First Name:RALPH
Middle Name:
Last Name:ASAMOAH-BARNIEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:681 N MAIN
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:MI
Mailing Address - Zip Code:48872-9704
Mailing Address - Country:US
Mailing Address - Phone:517-625-3322
Mailing Address - Fax:
Practice Address - Street 1:681 N MAIN
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:MI
Practice Address - Zip Code:48872-9704
Practice Address - Country:US
Practice Address - Phone:517-625-3322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302038019183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist