IndividualActive
Asiedu Boateng
NPI 1730787227 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Beaver Dam, WI
Provider details
- NPI number
- 1730787227
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 17409-40 (WI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
120 Frances Ln
Beaver Dam, WI 53916-1165
Phone: (920) 885-5808
Fax: (920) 885-5976
Approximate (ZIP-level) locationGet directions
Mailing address
951 Okeeffe Ave Apt 66
Sun Prairie, WI 53590-4129
Registry dates
- Enumerated
- 2020-10-15
- Last updated
- 2020-10-15
- Certified
- 2020-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.