Provider Demographics
NPI:1861800104
Name:ASAMOA-FRIMPONG, FREDERICK (PHARMD)
Entity type:Individual
Prefix:
First Name:FREDERICK
Middle Name:
Last Name:ASAMOA-FRIMPONG
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 1:3140 FRAMINGHAM CIR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-5705
Mailing Address - Country:US
Mailing Address - Phone:301-768-6521
Mailing Address - Fax:
Practice Address - Street 1:8050 LIBERTY RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-2968
Practice Address - Country:US
Practice Address - Phone:410-496-2117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22623183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist