Most Relevant Information
Provider Data
| NPI Number: | 1003197120 |
| Provider Name: | ASANTEWA ALLEN PHARM.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 051290995 |
Most Important Dates
| Enumeration Date: | 09/01/2011 |
| Last Updated: | 10/14/2013 |
Provider Practice Location
5230 DALLAS HWY
POWDER SPRINGS
GA
30127
Practice Location Phone/Fax
| Phone: | 7707928250 |
| Fax: | 7707927309 |
Provider Mailing Location
5230 DALLAS HWY
POWDER SPRINGS
GA
301274263
Provider Mailing Phone/Fax
| Phone: | 7707928250 |
| Fax: | 7707927309 |